Organization Active NPI

Stradley Hagerty LLC

  • General Practice Dentistry
  • Greensburg, IN
National Provider Identifier
1407061013
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7386 Issued in IN
Legal business name
STRADLEY HAGERTY LLC
Practice address
112 E. Tenth St
Greensburg, IN 47240-8202
Phone
(812) 663-2503
Fax
(812) 663-6665
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Mrs. Lesley E Best
Title
Financial Coordinator
Phone
(812) 663-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7386 IN Primary

Addresses

Primary practice location

112 E. Tenth St
Greensburg, IN 47240-8202

Mailing address

112 E. Tenth St
Greensburg, IN 47240-8202
Phone (812) 663-2503

Other identifiers 1

IdentifierTypeStateIssuer
200859770AMedicaidIN

Other names 1

  • Stradley Hagerty LLC Doing business as

National Provider Directory

National Provider Directory

Locations

112 E 10th St
Greensburg, IN 47240
Phone (812) 509-5866

Practitioners & affiliated clinicians

Practitioners 3

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1407061013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E. TENTH ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472408202",
            "telephone_number": "812-663-2503",
            "fax_number": "812-663-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E. TENTH ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472408202",
            "telephone_number": "812-663-2503",
            "fax_number": "812-663-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRADLEY HAGERTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "812-663-2503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859770A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stradley Hagerty LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.