Active NPI
David Dean Painter, DDS
- Dentist
- Auburn, IN
National Provider Identifier
1003914847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009681B
- Practice address
- 751 North St
Auburn, IN 46706-1633 - Phone
- (260) 925-9161
- Fax
- (260) 925-9171
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12009681B | IN | Primary |
Addresses
Primary practice location
751 North St
Auburn, IN 46706-1633
Mailing address
751 North St
Auburn, IN 46706-1633
Phone (260) 925-9161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009681B | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003914847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 NORTH ST",
"city": "AUBURN",
"state": "IN",
"postal_code": "467061633",
"telephone_number": "260-925-9161",
"fax_number": "260-925-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 NORTH ST",
"city": "AUBURN",
"state": "IN",
"postal_code": "467061633",
"telephone_number": "260-925-9161",
"fax_number": "260-925-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "DAVID",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009681B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.