NPIMap

Organization Active NPI

TLC Dental LLC

  • Dental Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1225549363
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TLC DENTAL LLC
Practice address
7908 Carnegie Blvd
Fort Wayne, IN 46804-5781
Phone
(260) 423-2525
NPI assigned
Oct 16, 2017
Organization subpart
Yes
Parent organization
TLC DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Savithri RajuNPI 1588765994
Title
Owner
Phone
(260) 423-2525

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7908 Carnegie Blvd
Fort Wayne, IN 46804-5781

Mailing address

7908 Carnegie Blvd
Fort Wayne, IN 46804-5781

National Provider Directory

National Provider Directory
Part of
TLC Dental LLC

Locations

7908 Carnegie Blvd
Fort Wayne, IN 46804
Phone (260) 423-2525

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1225549363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 CARNEGIE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 CARNEGIE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045781",
            "telephone_number": "260-423-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC DENTAL LLC",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "SAVITHRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-423-2525"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.