Springer Dental Care at Keystone LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPRINGER DENTAL CARE AT KEYSTONE LLC

Practice address

1802 Charlton CT
Goshen, IN 46526-6463

Phone

(574) 533-5925

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Troy Springer, D.M.D.

Title

Owner

Phone

(574) 971-1532

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Lynn Kelsey, D.M.D.

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1134784242
  NPD
• Vruti Pravin Sicinski, DDS

  • General Practice Dentistry
  • La Porte, IN
  • NPI 1235747288
  NPD
• Michael Lynn Beachy, D.D.S.

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1447318761
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1497352173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 E MISHAWAKA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173550",
            "telephone_number": "574-971-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CHARLTON CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266463",
            "telephone_number": "574-533-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGER DENTAL CARE AT KEYSTONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-971-1532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Soria, MSN, FNP-C
• Joseph Edward Spahr, M.D.
• Irina Vita Sparks, MD
• Pamela Ann Spohr, OTR
• Springer Dental Care at Crossroads LLC
• Barbara D Springer, N.P.
• Sharon Springer, FNP-C
• Jennifer R Stabler, OTR
• Jill Stahly, LSW
• Katherine Staltari

• Dental Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Dental Clinic/Center in Indiana

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