Organization Active NPI

Steven W Kellett

  • Dental Clinic/Center
  • Linton, IN
National Provider Identifier
1497416366
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEVEN W KELLETT
Practice address
190 C St NW
Linton, IN 47441-1328
Phone
(812) 847-8646
Fax
(812) 847-8761
NPI assigned
Jan 4, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steven KellettNPI 1104238526
Title
Owner
Phone
(812) 847-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

190 C St NW
Linton, IN 47441
Phone (812) 847-8646

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

190 C St NW
Linton, IN 47441-1328

Mailing address

190 C St NW
Linton, IN 47441-1328
Phone (812) 847-8646

Other names 1

NPPES NPI Registry
  • Linton Family Dentistry, LLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2022.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1497416366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 C ST NW",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411328",
            "telephone_number": "812-847-8646",
            "fax_number": "812-847-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 C ST NW",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411328",
            "telephone_number": "812-847-8646",
            "fax_number": "812-847-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W KELLETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "KELLETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-847-8646"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linton Family Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.