Active NPI
Royale Family Dentistry
- General Practice Dentistry
- Muncie, IN
National Provider Identifier
1174530950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1200-9865
- Legal business name
- ROYALE FAMILY DENTISTRY
- Practice address
- 1804 W Royale Dr
Muncie, IN 47304-2243 - Phone
- (765) 289-1578
- Fax
- (765) 289-7901
- NPI assigned
- Aug 2, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Jeanine Marie Green, D.D.S.
- Title
- Owner
- Phone
- (765) 289-1578
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1200-9865 | IN | Primary |
| General Practice Dentistry | 1223G0001X | 1200-6019 | IN |
Addresses
Primary practice location
1804 W Royale Dr
Muncie, IN 47304-2243
Mailing address
1804 W Royale Dr
Muncie, IN 47304-2243
Phone (765) 289-1578
National Provider Directory
National Provider DirectoryLocations
1804 W Royale Dr
Muncie, IN 47304
Phone (765) 289-1578
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.
-
- General Practice Dentistry
- Muncie, IN
- NPI 1215094834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174530950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042243",
"telephone_number": "765-289-1578",
"fax_number": "765-289-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042243",
"telephone_number": "765-289-1578",
"fax_number": "765-289-7901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYALE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "JEANINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-289-1578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "1200-9865",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "1200-6019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.