NPIMap

Organization Active NPI

Pediatric Dentistry of Prospect

  • Pediatric Dentistry
  • Jeffersonville, IN
National Provider Identifier
1275906901
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12011253A Issued in IN
Legal business name
PEDIATRIC DENTISTRY OF PROSPECT
Practice address
900 Spring St Ste B
Jeffersonville, IN 47130-3676
Phone
(812) 288-8131
Fax
(812) 280-7184
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Danielle M Haman-Smith, DMD
Title
Owner/President
Phone
(502) 292-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12011253A IN Primary

Addresses

Primary practice location

900 Spring St Ste B
Jeffersonville, IN 47130-3676

Mailing address

900 Spring St Ste B
Jeffersonville, IN 47130-3676
Phone (812) 288-8131

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1275906901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SPRING ST STE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303676",
            "telephone_number": "812-288-8131",
            "fax_number": "812-280-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SPRING ST STE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303676",
            "telephone_number": "812-288-8131",
            "fax_number": "812-280-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF PROSPECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "HAMAN-SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "502-292-1160",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011253A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.