Active NPI
Sycamore Hills Dentistry
- General Practice Dentistry
- Fort Wayne, IN
National Provider Identifier
1295357481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SYCAMORE HILLS DENTISTRY
- Practice address
- 10082 Illinois Rd
Fort Wayne, IN 46804-5772 - Phone
- (260) 213-4400
- NPI assigned
- May 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Pressnall
- Title
- Practice Consultant
- Phone
- (317) 426-9876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10082 Illinois Rd
Fort Wayne, IN 46804-5772
Mailing address
10082 Illinois Rd
Fort Wayne, IN 46804-5772
Phone (260) 213-4400
National Provider Directory
National Provider DirectoryLocations
10082 Illinois Rd
Fort Wayne, IN 46804
Phone (260) 213-4400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Fort Wayne, IN
- NPI 1346173325
-
- Dentist
- Fort Wayne, IN
- NPI 1023492147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1295357481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10082 ILLINOIS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468045772",
"telephone_number": "260-213-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10082 ILLINOIS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468045772",
"telephone_number": "260-213-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYCAMORE HILLS DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "PRESSNALL",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "PRACTICE CONSULTANT",
"authorized_official_telephone_number": "317-426-9876"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.