Crawfordsville Oral Surgery

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1201055A Issued in IN

Legal business name

CRAWFORDSVILLE ORAL SURGERY

Practice address

408 W Market St
Crawfordsville, IN 47933-1600

Phone

(765) 807-0230

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Henrikson, DDSNPI 1063629988

Title

Owner

Phone

(765) 807-0230

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brett A Henrikson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lafayette, IN
  • NPI 1063629988
  Authorized official Same address or phone

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1053617746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331600",
            "telephone_number": "765-807-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331600",
            "telephone_number": "765-807-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDSVILLE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "HENRIKSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-807-0230",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "1201055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawfordsville Chiroteam, Inc (crawfordsville chiropractic)
• Crawfordsville Community School Corporation
• Crawfordsville Emergency Ambulance Service
• Crawfordsville Emergency Ambulance Service
• Crawfordsville Family Eye Care, Inc
• Crawfordsville Pediatric Center
• Crawfordsville Senior Opco, LLC (1019 Belles Place Crawfordsville)
• Crossroads Counseling and Wellness LLC
• Crossroads Orthotics & Consultation, Inc.
• Dale Crowder, PHD

• Dental Clinic/Center in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.