NPIMap

Organization Active NPI

Allcare Dental & Dentures of in PC

  • General Practice Dentistry
  • Lafayette, IN
National Provider Identifier
1114194693
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALLCARE DENTAL & DENTURES OF IN PC
Practice address
170 S Creasy LN
Suite 1730
Lafayette, IN 47905-0759
Phone
(765) 807-7110
Fax
(765) 807-7113
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
ALLCARE DENTAL & DENTURES OF IN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Robert S Bates, DDS
Title
President
Phone
(716) 622-1563

Specialties & licenses 1

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

Addresses

Primary practice location

170 S Creasy LN
Suite 1730
Lafayette, IN 47905-0759

Mailing address

PO Box 369
Clarence, NY 14031-0369
Phone (716) 204-4999

National Provider Directory

National Provider Directory
Tax ID family
Allcare Dental Dentures of in PC8 organizations share this tax ID, including this one
Part of
Allcare Dental Dentures of in PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 S Creasy Ln
Ste 1730
Lafayette, IN 47905
Phone (765) 807-7110

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1114194693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140310369",
            "telephone_number": "716-204-4999",
            "fax_number": "716-632-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S CREASY LN",
            "address_2": "SUITE 1730",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050759",
            "telephone_number": "765-807-7110",
            "fax_number": "765-807-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE DENTAL & DENTURES OF IN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLCARE DENTAL & DENTURES OF IN PC",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-622-1563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.