Active NPI
Hobart and Lake County Family Dental, P.C.
- Dental Clinic/Center
- Hobart, IN
National Provider Identifier
1144818055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HOBART AND LAKE COUNTY FAMILY DENTAL, P.C.
- Practice address
- 407 N Wisconsin St
Hobart, IN 46342-2160 - Phone
- (219) 942-4624
- NPI assigned
- Jan 6, 2021
- 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
- Kelly Weber
- Title
- Office Administrator
- Phone
- (574) 232-2992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
407 N Wisconsin St
Hobart, IN 46342-2160
Mailing address
407 N Wisconsin St
Hobart, IN 46342-2160
Phone (219) 942-4624
National Provider Directory
National Provider DirectoryLocations
407 N Wisconsin St
Hobart, IN 46342
Phone (219) 942-4624
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hobart, IN
- NPI 1275638173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1144818055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N WISCONSIN ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463422160",
"telephone_number": "219-942-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N WISCONSIN ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463422160",
"telephone_number": "219-942-4624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOBART AND LAKE COUNTY FAMILY DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "574-232-2992"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.