NPIMap

Organization Active NPI

Carla K. Brink, D.D.S., P.C.

  • Dentist
  • Hebron, IN
National Provider Identifier
1326571027
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009700A Issued in IN
Legal business name
CARLA K. BRINK, D.D.S., P.C.
Practice address
56 Nichols St
Hebron, IN 46341-8774
Phone
(219) 996-3311
Fax
(219) 996-6711
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Carla K Brink, D.D.S.NPI 1689698292
Title
Owner
Phone
(219) 996-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009700A IN Primary

Addresses

Primary practice location

56 Nichols St
Hebron, IN 46341-8774

Mailing address

56 Nichols St
Hebron, IN 46341-8774
Phone (219) 996-3311

National Provider Directory

National Provider Directory

Locations

56 Nichols St
Hebron, IN 46341
Phone (219) 996-3311

Practitioners & affiliated clinicians

Practitioners 1

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1326571027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 NICHOLS ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418774",
            "telephone_number": "219-996-3311",
            "fax_number": "219-996-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 NICHOLS ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418774",
            "telephone_number": "219-996-3311",
            "fax_number": "219-996-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA K. BRINK, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-996-3311",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.