Micheal J Deady DDS Inc

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

12006188 Issued in IN

Legal business name

MICHEAL J DEADY DDS INC

Practice address

1630 Poplar St
Terre Haute, IN 47807

Phone

(812) 232-2108

Fax

(812) 232-2426

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Michael Joseph Deady, DDSNPI 1366512972

Title

Pres

Phone

(812) 232-2108

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Joseph Deady, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Terre Haute, IN
  • NPI 1366512972
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114007838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 POPLAR ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-232-2108",
            "fax_number": "812-232-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 POPLAR ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-232-2108",
            "fax_number": "812-232-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEAL J DEADY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "812-232-2108",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "12006188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Meyer
• Destiny Michael
• Kelli Anne Michael, NP
• Robert Harold Michaels, DDS
• Wanda Jeanne Michaels, MD
• Glen D Middaugh, DDS
• Sylvia Middaugh, RDN
• Craig Lee Middlebrook, LAT, ATC
• Midwest Child and Adolescent Specialty Group, P.C.
• Midwest Medical Management, P.C.

• Oral & Maxillofacial Surgery (D.M.D.) in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.