Organization Active NPI

Springer Dental Care at Crossroads LLC

  • Dental Clinic/Center
  • Goshen, IN
National Provider Identifier
1306305446
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPRINGER DENTAL CARE AT CROSSROADS LLC
Practice address
57250 Alpha Dr
Goshen, IN 46528-7804
Phone
(574) 875-3817
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Troy Springer, DMD
Title
Owner
Phone
(574) 875-3817

Specialties & licenses 1

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

Addresses

Primary practice location

57250 Alpha Dr
Goshen, IN 46528-7804

Mailing address

3702 E Mishawaka Rd
Elkhart, IN 46517-3550
Phone (574) 971-1532

National Provider Directory

National Provider Directory

Locations

57250 Alpha Dr
Goshen, IN 46528
Phone (574) 875-3817

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1306305446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 E MISHAWAKA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173550",
            "telephone_number": "574-971-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57250 ALPHA DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287804",
            "telephone_number": "574-875-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGER DENTAL CARE AT CROSSROADS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-875-3817",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.