Organization Active NPI

Badell Dental Clinic LLC

  • Dental Clinic/Center
  • Knox, IN
National Provider Identifier
1295464782
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BADELL DENTAL CLINIC LLC
Practice address
1800 S US Highway 35
Knox, IN 46534-8681
Phone
(574) 248-0456
Fax
(574) 772-5643
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Nikki Cook
Title
Office Manager
Phone
(574) 772-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1800 S US Highway 35
Knox, IN 46534-8681

Mailing address

1800 S US Highway 35
Knox, IN 46534-8681
Phone (574) 248-0456

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL badellstaff@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1800 S US Highway 35
Knox, IN 46534
Phone (574) 248-0456

Practitioners & affiliated clinicians

Practitioners 3

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": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1295464782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S US HIGHWAY 35",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348681",
            "telephone_number": "574-248-0456",
            "fax_number": "574-772-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S US HIGHWAY 35",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348681",
            "telephone_number": "574-248-0456",
            "fax_number": "574-772-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADELL DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-772-3666"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "badellstaff@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 S US Highway 35",
            "city": "Knox",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465348681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.