Organization Active NPI

The Center for Implants, Sedation and Cosmetic Dentistry

  • Dentist
  • Dyer, IN
National Provider Identifier
1013216423
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE CENTER FOR IMPLANTS, SEDATION AND COSMETIC DENTISTRY
Practice address
890 Richard Rd
Dyer, IN 46311-1779
Phone
(219) 322-3171
Fax
(219) 322-9986
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Haya Atcha
Title
Office Manager
Phone
(219) 322-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

890 Richard Rd
Dyer, IN 46311-1779

Mailing address

890 Richard Rd
Dyer, IN 46311-1779
Phone (219) 322-3171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1013216423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-3171",
            "fax_number": "219-322-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-3171",
            "fax_number": "219-322-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR IMPLANTS, SEDATION AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "ATCHA",
        "authorized_official_first_name": "HAYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-322-3171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.