Organization Active NPI

Freiendly Family Dentistry, LLC

  • Dental Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1235505579
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12007347B Issued in IN
Legal business name
FREIENDLY FAMILY DENTISTRY, LLC
Practice address
1626 S State Road 46
Terre Haute, IN 47803-9301
Phone
(812) 877-2238
Fax
(812) 877-9408
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Dr. Mark A. Haring, DDSNPI 1255427407
Title
Owner
Phone
(812) 877-2238

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 12007347B IN Primary

Addresses

Primary practice location

1626 S State Road 46
Terre Haute, IN 47803-9301

Mailing address

1626 S State Road 46
Terre Haute, IN 47803-9301
Phone (812) 877-2238

National Provider Directory

National Provider Directory

Locations

1626 S State Road 46
Terre Haute, IN 47803
Phone (812) 645-1195

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1235505579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S STATE ROAD 46",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039301",
            "telephone_number": "812-877-2238",
            "fax_number": "812-877-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S STATE ROAD 46",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039301",
            "telephone_number": "812-877-2238",
            "fax_number": "812-877-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREIENDLY FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "HARING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-877-2238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007347B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2015; 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.