NPIMap

Organization Active NPI

Kevin a Deloria DDS

  • General Practice Dentistry
  • Martinsville, IN
National Provider Identifier
1245619956
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009312 Issued in IN
Legal business name
KEVIN A DELORIA DDS
Practice address
1690 S Ohio St
Martinsville, IN 46151-3317
Phone
(765) 342-8435
Fax
(765) 342-3561
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Kevin A Deloria, DDSNPI 1487733853
Title
Dentist
Phone
(765) 342-8435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009312 IN Primary

Addresses

Primary practice location

1690 S Ohio St
Martinsville, IN 46151-3317

Mailing address

1690 S Ohio St
Martinsville, IN 46151-3317
Phone (765) 342-8435

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1245619956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 S OHIO ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513317",
            "telephone_number": "765-342-8435",
            "fax_number": "765-342-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 S OHIO ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513317",
            "telephone_number": "765-342-8435",
            "fax_number": "765-342-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A DELORIA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "DELORIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "765-342-8435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.