Organization Active NPI

Maupin Family Dentistry

Doing business as Saratoga Family Dental

  • General Practice Dentistry
  • Plainfield, IN
National Provider Identifier
1154656775
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010749A Issued in IN
Legal business name
MAUPIN FAMILY DENTISTRY
Doing business as
Saratoga Family Dental
Practice address
1070 West Main Street Suite 151
Plainfield, IN 46168-9704
Phone
(317) 838-7100
Fax
(317) 885-0417
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Heather Ann Maupin, DDSNPI 1679797641
Title
President
Phone
(317) 838-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010749A IN Primary

Addresses

Primary practice location

1070 West Main Street Suite 151
Plainfield, IN 46168-9704

Mailing address

4877 Myrtle LN
Greenwood, IN 46142-9200
Phone (317) 340-3804

Other names 1

  • Saratoga Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1070 W Main St
Ste 151
Plainfield, IN 46168
Phone (317) 838-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1154656775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 MYRTLE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429200",
            "telephone_number": "317-340-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WEST MAIN STREET SUITE 151",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461689704",
            "telephone_number": "317-838-7100",
            "fax_number": "317-885-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUPIN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-838-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.