Chesterton Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHESTERTON FAMILY DENTAL

Doing business as

Chesterton Family Dental

Practice address

751 E Porter Ave Ste 1
Chesterton, IN 46304-9111

Phone

(219) 929-9289

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mystie Pieters, DDSNPI 1265656243

Title

Dentist

Phone

(219) 929-9289

Specialties & licenses 1

Addresses

Other names 1

• Chesterton Family Dental Doing business as

Locations

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.

• Mystie Pieters, DDS

  • Dentist
  • Chesterton, IN
  • NPI 1265656243
  NPD (past) Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1295219368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 1",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-929-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 1",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-929-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERTON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "PIETERS",
        "authorized_official_first_name": "MYSTIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-929-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jennifer Carmichael, L.C.S.W.
• Kaitlyn Michele Carr, PA-S
• Cartref Services, LLC
• Kimberly Elizabeth Chambers, MOT, OTR/L
• Cynthia Lynn Cheek, FNP
• Chesterton Physical Therapy, Inc.
• Chesterton Smiles Inc
• Chesterton Surgery Center LLC (Northwest Health Lakeshore Surgicare)
• Jamie Chin-Theodorou, MD
• Laura Lynn Cipowski, OTR

• Dental Clinic/Center in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.