Organization Active NPI

Bluesprings Family Dentistry

  • General Practice Dentistry
  • Troy, IL
National Provider Identifier
1437329968
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLUESPRINGS FAMILY DENTISTRY
Practice address
7656 Plummer Business Dr
Troy, IL 62294-7604
Phone
(618) 667-6650
Fax
(618) 667-6615
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mrs. Melanie L Hall
Title
Office Manager
Phone
(618) 667-6650

Specialties & licenses 1

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

Addresses

Primary practice location

7656 Plummer Business Dr
Troy, IL 62294-7604

Mailing address

7656 Plummer Business Dr
Troy, IL 62294-7604
Phone (618) 667-6650

National Provider Directory

National Provider Directory

Locations

7656 Plummer Business Dr
Troy, IL 62294
Phone (618) 667-6650

Practitioners & affiliated clinicians

Practitioners 2

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1437329968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 PLUMMER BUSINESS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622947604",
            "telephone_number": "618-667-6650",
            "fax_number": "618-667-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 PLUMMER BUSINESS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622947604",
            "telephone_number": "618-667-6650",
            "fax_number": "618-667-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESPRINGS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-667-6650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.