NPIMap

Organization Active NPI

Childrens Dental Center of Northwest Indiana Inc

  • Pediatric Dentistry
  • Merrillville, IN
National Provider Identifier
1497869341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDRENS DENTAL CENTER OF NORTHWEST INDIANA INC
Practice address
7863 Broadway
Suite #111
Merrillville, IN 46410-5553
Phone
(219) 769-6636
Fax
(219) 769-4396
NPI assigned
Aug 18, 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
Charles W Rigg, DDS
Title
President
Phone
(219) 769-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7863 Broadway
Suite #111
Merrillville, IN 46410-5553

Mailing address

7863 Broadway
Suite #111
Merrillville, IN 46410-5553
Phone (219) 769-6636

National Provider Directory

National Provider Directory

Locations

7863 Broadway
Ste 111
Merrillville, IN 46410
Phone (219) 769-6636

Practitioners & affiliated clinicians

Practitioners 6

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497869341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE #111",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-769-6636",
            "fax_number": "219-769-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE #111",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-769-6636",
            "fax_number": "219-769-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL CENTER OF NORTHWEST INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIGG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-6636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, 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.