NPIMap

Organization Active NPI

Bradley P Laconi DDS PC

  • Dental Clinic/Center
  • Chesterfield, IN
National Provider Identifier
1285020560
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12008802A Issued in IN
Legal business name
BRADLEY P LACONI DDS PC
Practice address
11 Skyview Dr
Chesterfield, IN 46017-1057
Phone
(765) 378-0271
Fax
(765) 378-4364
NPI assigned
Apr 13, 2015
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. Bradley P Laconi, DDSNPI 1578587630
Title
Owner
Phone
(765) 378-0271

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
Dental Clinic/Center 261QD0000X 12008802A IN Primary

Addresses

Primary practice location

11 Skyview Dr
Chesterfield, IN 46017-1057

Mailing address

11 Skyview Dr
Chesterfield, IN 46017-1057
Phone (765) 378-0271

National Provider Directory

National Provider Directory

Locations

11 Skyview Dr
Chesterfield, IN 46017
Phone (765) 378-0271

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1285020560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SKYVIEW DR",
            "city": "CHESTERFIELD",
            "state": "IN",
            "postal_code": "460171057",
            "telephone_number": "765-378-0271",
            "fax_number": "765-378-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SKYVIEW DR",
            "city": "CHESTERFIELD",
            "state": "IN",
            "postal_code": "460171057",
            "telephone_number": "765-378-0271",
            "fax_number": "765-378-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY P LACONI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "LACONI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-378-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12008802A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.