NPIMap

Organization Active NPI

Polus Dental

  • General Practice Dentistry
  • Crown Point, IN
National Provider Identifier
1083707566
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8055 Issued in IN
Legal business name
POLUS DENTAL
Practice address
1549 South Court Street
Suite B
Crown Point, IN 46307-4809
Phone
(219) 662-0131
Fax
(219) 662-3962
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Philip G. Polus, D.D.S.NPI 1669415063
Title
Dr.
Phone
(219) 662-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8055 IN Primary

Addresses

Primary practice location

1549 South Court Street
Suite B
Crown Point, IN 46307-4809

Mailing address

1549 South Court Street
Suite B
Crown Point, IN 46307-4809
Phone (219) 662-0131

National Provider Directory

National Provider Directory

Locations

1549 S Court St
#B
Crown Point, IN 46307
Phone (219) 662-0131

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1083707566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 SOUTH COURT STREET",
            "address_2": "SUITE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074809",
            "telephone_number": "219-662-0131",
            "fax_number": "219-662-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 SOUTH COURT STREET",
            "address_2": "SUITE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074809",
            "telephone_number": "219-662-0131",
            "fax_number": "219-662-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLUS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "POLUS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "219-662-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.