Organization Active NPI

Thomas L Hadley DDS PC

  • Dentist
  • Monticello, IN
National Provider Identifier
1467521658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12008312 Issued in IN
Legal business name
THOMAS L HADLEY DDS PC
Practice address
301 W Harrison St
Monticello, IN 47960-2211
Phone
(574) 583-8060
Fax
(574) 583-5644
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas L Hadley, DDS
Title
President
Phone
(574) 583-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12008312 IN Primary

Addresses

Primary practice location

301 W Harrison St
Monticello, IN 47960-2211

Mailing address

301 W Harrison St
Monticello, IN 47960-2211
Phone (574) 583-8060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467521658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-583-8060",
            "fax_number": "574-583-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-583-8060",
            "fax_number": "574-583-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L HADLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-583-8060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.