Active NPI
Richey Family Dentistry
- General Practice Dentistry
- Terre Haute, IN
National Provider Identifier
1194127811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12012114A
- Legal business name
- RICHEY FAMILY DENTISTRY
- Practice address
- 2499 E Margaret Dr
Terre Haute, IN 47802-3342 - Phone
- (812) 232-7424
- NPI assigned
- Sep 25, 2014
- 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
- Nicole Richey
- Title
- Owner/Office Manager
- Phone
- (812) 232-7424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012114A | IN | Primary |
Addresses
Primary practice location
2499 E Margaret Dr
Terre Haute, IN 47802-3342
Mailing address
2499 E Margaret Dr
Terre Haute, IN 47802-3342
Phone (812) 232-7424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300065373 | Medicaid | IN |
Other names 1
- Crossroads Family Dentistry
National Provider Directory
National Provider DirectoryLocations
2499 E Margaret Dr
Terre Haute, IN 47802
Phone (812) 232-7424
3315 S 7th St
Terre Haute, IN 47802
Phone (812) 232-7424
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Terre Haute, IN
- NPI 1033529581
-
- General Practice Dentistry
- Terre Haute, IN
- NPI 1174704860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1194127811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 E MARGARET DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023342",
"telephone_number": "812-232-7424",
"fax_number": "812-234-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 E MARGARET DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023342",
"telephone_number": "812-232-7424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHEY FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-25",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "RICHEY",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
"authorized_official_telephone_number": "812-232-7424"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012114A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300065373",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.