Kenneth J. Pilcher, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12009141 Issued in IN

Practice address

508 Corda Blvd
Crawfordsville, IN 47933-4935

Phone

(765) 362-1189

Fax

(765) 362-1190

NPI assigned

Jul 17, 2009

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth J. Pilcher, D.D.S., P.C.

  • Dentist
  • Crawfordsville, IN
  • NPI 1235265380
  NPD (past) Authorized official

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1134359656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CORDA BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334935",
            "telephone_number": "765-362-1189",
            "fax_number": "765-362-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CORDA BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334935",
            "telephone_number": "765-362-1189",
            "fax_number": "765-362-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHER",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200309510A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Pfleegor
• Judah L Phipps, PTA
• Physiotherapy Associates Inc (Select Physical Therapy)
• Gregory T Pietz, O.D.
• Lauryn Pike, RBT
• Pinnacle Dermatology, SC (Pinnacle Dermatology, Crawfordsville)
• Andrea Polk, NP
• Karyssa Potters, RBT
• Monika Poudel
• Pravin M Patel, MD Inc

• Dentist in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.