NPIMap

Organization Active NPI

Still Waters Family Dentistry, PC

  • Dentist
  • Ossian, IN
National Provider Identifier
1326511189
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STILL WATERS FAMILY DENTISTRY, PC
Practice address
10045 North State Road 1
Ossian, IN 46777
Phone
(260) 622-4138
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Clark Downey, D.D.SNPI 1114173226
Title
Owner
Phone
(260) 622-4138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

10045 North State Road 1
Ossian, IN 46777

Mailing address

10045 North State Road 1
Ossian, IN 46777
Phone (260) 622-4138

National Provider Directory

National Provider Directory

Locations

10045 N State Road 1
Ossian, IN 46777
Phone (260) 622-4138

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": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1326511189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 NORTH STATE ROAD 1",
            "city": "OSSIAN",
            "state": "IN",
            "postal_code": "46777",
            "telephone_number": "260-622-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 NORTH STATE ROAD 1",
            "city": "OSSIAN",
            "state": "IN",
            "postal_code": "46777",
            "telephone_number": "260-622-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-622-4138",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossian, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.