Organization Active NPI

Richey Family Dentistry

  • General Practice Dentistry
  • Terre Haute, IN
National Provider Identifier
1194127811
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012114A Issued in IN
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

Updated by the provider on Aug 11, 2022

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
300065373MedicaidIN

Other names 1

  • Crossroads Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.