Healthy Smiles Nwi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011235A Issued in IN

Legal business name

HEALTHY SMILES NWI

Practice address

4629 Melton Rd.
Gary, IN 46403

Phone

(219) 938-2637

Fax

(219) 938-6338

NPI assigned

Apr 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicholas Bernard Cain, D.D.S

Title

Ceo

Phone

(615) 260-3544

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1003172008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 MELTON RD.",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46403",
            "telephone_number": "219-938-2637",
            "fax_number": "219-938-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 MELTON RD.",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46403",
            "telephone_number": "219-938-2637",
            "fax_number": "219-938-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES NWI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-260-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011235A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200992160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kemuel Sean Hawkins, LMHC
• Richard Hayes, LCSW, LCAC, LM&FT
• Tracy Renee Haymon, OTR
• Schorre Joel Headd, COTA/L
• Healthcare Port
• Hearts of Care LLC
• Heartwarming Care LLC
• Heartwarming Care LLC Dba Heartwarming Care Home Health Services
• Judith Heilman, NP
• Helping & Offering People Empowerment'H.O.P.E Incorporated

• General Practice Dentistry in Gary, IN
• Providers in Gary, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.