The Kids' Dentist, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12008572A Issued in IN

Legal business name

THE KIDS' DENTIST, PC

Practice address

108 N Oak St
Crawfordsville, IN 47933-1950

Phone

(765) 362-5437

Fax

(765) 362-1652

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sammi Froedge

Title

Office Manager

Phone

(765) 362-5437

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Joseph Allen

  • Pediatric Dentistry
  • Brownsburg, IN
  • NPI 1326500596
  NPD (past)
• Terri Ann Winn, D.D.S.

  • Pediatric Dentistry
  • Crawfordsville, IN
  • NPI 1326027814
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1508236399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N OAK ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331950",
            "telephone_number": "765-362-5437",
            "fax_number": "765-362-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N OAK ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331950",
            "telephone_number": "765-362-5437",
            "fax_number": "765-362-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS' DENTIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "FROEDGE",
        "authorized_official_first_name": "SAMMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-362-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12008572A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene F Tan, MD
• Timothy R Tanselle, MD
• Stephanie Ann Taylor, FNP-C
• Samantha Thayer Neal
• The Health and Hospital Corporation of Marion County (Ben Hur Health and Rehabilitation)
• The Mindful Willow, LLC
• Katina Thomas, RN
• Mekenzi Tipton, RBT
• Teresa Hawn Trenary, PHARM D
• Tri-Corp of Indiana

• Pediatric Dentistry in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.