NPIMap

Organization Active NPI

Dental Professionals of in, P.C.

Doing business as Dental Care of Greencastle

  • General Practice Dentistry
  • Greencastle, IN
National Provider Identifier
1447627757
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF IN, P.C.
Doing business as
Dental Care of Greencastle
Practice address
1012 Mill Pond Drive Suite a
Greencastle, IN 46135
Phone
(765) 200-6293
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF IN, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Carmen Woods
Title
Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1012 Mill Pond Drive Suite a
Greencastle, IN 46135

Mailing address

1012 Mill Pond Drive Suite a
Greencastle, IN 46135

Other names 1

  • Dental Care of Greencastle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Indiana PC48 organizations share this tax ID, including this one
Part of
Dental Professionals of Indiana PC

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

1012 Mill Pond Dr
#A
Greencastle, IN 46135
Phone (765) 200-6293

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1447627757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MILL POND DRIVE SUITE A",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MILL POND DRIVE SUITE A",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-200-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF IN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF IN, P.C.",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Greencastle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.