Kluth Family Dentistry,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

12009126 Issued in IN

Legal business name

KLUTH FAMILY DENTISTRY,INC

Practice address

16000 Prosperity Dr Ste 400
Noblesville, IN 46060-4322

Phone

(317) 770-1050

Fax

(317) 770-1645

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sandy Lynn Fisher

Title

Practice Administrator

Phone

(317) 770-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1003356973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PROSPERITY DR STE 400",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604322",
            "telephone_number": "317-770-1050",
            "fax_number": "317-770-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PROSPERITY DR STE 400",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604322",
            "telephone_number": "317-770-1050",
            "fax_number": "317-770-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLUTH FAMILY DENTISTRY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-770-1050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Kitcoff, DDS
• Nicole R Klein, M.D.
• John Peter Klim, DO
• Andrew Joseph Kline, PA-C
• Abigail Klinker
• Lisa Marie Knapp, LCSW
• Brooklyn Knight
• Knowles Duncan & Associates, LLC
• Knowles-Duncan & Associates, LLC
• Mackenzie Knudson, RPH

• Dentist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.