Organization Active NPI

One Family Dental

  • Dental Clinic/Center
  • Greenwood, IN
National Provider Identifier
1316657463
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Nov 30, 2022

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)CodeLicenseStatePrimary
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 Directory

Ownership & 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.

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.

Verify at the official NPI Registry.