Organization Active NPI

Springer Dental Care of Millersburg

  • Dentist
  • Millersburg, IN
National Provider Identifier
1003345216
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011803A Issued in IN
Legal business name
SPRINGER DENTAL CARE OF MILLERSBURG
Practice address
422 N Benton St
Millersburg, IN 46543-9732
Phone
(574) 642-4449
Fax
(574) 642-3863
NPI assigned
Jun 9, 2017
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Troy Roger Springer, D.M.D.
Title
Owner Dentist
Phone
(574) 971-1532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011803A IN Primary

Addresses

Primary practice location

422 N Benton St
Millersburg, IN 46543-9732

Mailing address

3702 E Mishawaka Rd
Elkhart, IN 46517-3550
Phone (574) 971-1532

National Provider Directory

National Provider Directory

Locations

422 N Benton St
Millersburg, IN 46543
Phone (574) 642-4449

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1003345216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 E MISHAWAKA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173550",
            "telephone_number": "574-971-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N BENTON ST",
            "city": "MILLERSBURG",
            "state": "IN",
            "postal_code": "465439732",
            "telephone_number": "574-642-4449",
            "fax_number": "574-642-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGER DENTAL CARE OF MILLERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "574-971-1532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011803A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.