Organization Active NPI

Hobart and Lake County Family Dental, P.C.

  • Dental Clinic/Center
  • Hobart, IN
National Provider Identifier
1144818055
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jan 6, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.