Organization Active NPI

Ocfd Management, LLC

  • General Practice Dentistry
  • Paoli, IN
National Provider Identifier
1194072330
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007674A Issued in IN
Legal business name
OCFD MANAGEMENT, LLC
Practice address
1570 W Hospital Rd
Paoli, IN 47454-9666
Phone
(812) 723-3959
Fax
(812) 723-3909
NPI assigned
Aug 7, 2012
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Michael Kent Van Emon, DDSNPI 1780766832
Title
President
Phone
(812) 723-3959

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010908A IN
General Practice Dentistry 1223G0001X 12007674A IN Primary

Addresses

Primary practice location

1570 W Hospital Rd
Paoli, IN 47454-9666

Mailing address

1570 W Hospital Rd
Paoli, IN 47454-9666
Phone (812) 723-3959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1194072330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549666",
            "telephone_number": "812-723-3959",
            "fax_number": "812-723-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549666",
            "telephone_number": "812-723-3959",
            "fax_number": "812-723-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCFD MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "VAN EMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-723-3959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010908A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007674A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.