Active NPI
One Family Dental
- Dental Clinic/Center
- Greenwood, IN
National Provider Identifier
1316657463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ONE FAMILY DENTAL
- Practice address
- 2826 S State Road 135 Ste C
Greenwood, IN 46143-9603 - Phone
- (260) 750-0418
- NPI assigned
- Nov 30, 2022
- 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
- Mr. Sudhakar Santhana Krishnan
- Title
- Ceo
- Phone
- (260) 750-0418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2826 S State Road 135 Ste C
Greenwood, IN 46143-9603
Mailing address
10404 Antelope CT
Fort Wayne, IN 46804-4909
Phone (260) 750-0418
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dental Clinic/Center
- Indianapolis, IN
- NPI 1013614940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1316657463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10404 ANTELOPE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044909",
"telephone_number": "260-750-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 S STATE ROAD 135 STE C",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439603",
"telephone_number": "260-750-0418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "KRISHNAN",
"authorized_official_first_name": "SUDHAKAR",
"authorized_official_middle_name": "SANTHANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "260-750-0418",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.