Active NPI
Hadley Family Dentistry
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1083820062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12010497A
- Legal business name
- HADLEY FAMILY DENTISTRY
- Doing business as
- Hadley Family Dentistry
- Practice address
- 5406 S Emerson Ave Ste a
Indianapolis, IN 46237-1980 - Phone
- (317) 780-7777
- Fax
- (317) 780-5849
- NPI assigned
- May 15, 2007
- Last updated
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Chelsea Campbell
- Title
- Office Manager
- Phone
- (317) 780-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010497A | IN | Primary |
Addresses
Primary practice location
5406 S Emerson Ave Ste a
Indianapolis, IN 46237-1980
Mailing address
5406 S Emerson Ave Ste a
Indianapolis, IN 46237-1980
Phone (317) 780-7777
Other names 1
- Hadley Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Hadley Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5406 S Emerson Ave
Ste A
Indianapolis, IN 46237
Phone (317) 780-7777
Practitioners & affiliated clinicians
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Indianapolis, IN
- NPI 1619388139
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1083820062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 S EMERSON AVE STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462371980",
"telephone_number": "317-780-7777",
"fax_number": "317-780-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 S EMERSON AVE STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462371980",
"telephone_number": "317-780-7777",
"fax_number": "317-780-5849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HADLEY FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CHELSEA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "317-780-7777",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010497A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hadley Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.