Indian Creek Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INDIAN CREEK FAMILY DENTISTRY

Practice address

5938 West Sr 135
Trafalgar, IN 46181

Phone

(812) 597-5857

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Allison Stropes

Title

Dentist

Phone

(812) 597-5857

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claude E Willis, D.D.S.

  • General Practice Dentistry
  • Trafalgar, IN
  • NPI 1245336593
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043879240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 WEST SR 135",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "46181",
            "telephone_number": "812-597-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 WEST SR 135",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "46181",
            "telephone_number": "812-597-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STROPES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-597-5857"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN DENTAL LICENSE",
            "identifier": "12012937A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1851883334",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "indiancreekfamilydentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "webstie",
            "address_1": "5938 West SR 135",
            "city": "Trafalgar",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Hauger, NP
• Mary Kathy Hendershot, NP
• Jon Axberg Hendrickson, D.D.S
• Hook-Superx LLC
• Jessica Hoskins, MOT, OTR
• Dee A Johnson, RPH
• Jon a. Hendrickson, DDS Inc.
• Jon Hendrickson DDS Inc
• Amie Kiefer
• Michael Kolenda, LCSW

• General Practice Dentistry in Trafalgar, IN
• Providers in Trafalgar, 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 Jun 11, 2019; 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.