Organization Active NPI

Stony Creek Dentistry

  • General Practice Dentistry
  • Noblesville, IN
National Provider Identifier
1528291960
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STONY CREEK DENTISTRY
Practice address
17021 Clover Rd
Suite 101
Noblesville, IN 46060-3617
Phone
(317) 776-8600
Fax
(317) 770-1795
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Tony Ratliff, D.D.S.NPI 1225165749
Title
President
Phone
(317) 776-8600

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X IN Primary

Addresses

Primary practice location

17021 Clover Rd
Suite 101
Noblesville, IN 46060-3617

Mailing address

17021 Clover Rd
Suite 101
Noblesville, IN 46060-3617
Phone (317) 776-8600

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1528291960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 CLOVER RD",
            "address_2": "SUITE 101",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603617",
            "telephone_number": "317-776-8600",
            "fax_number": "317-770-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 CLOVER RD",
            "address_2": "SUITE 101",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603617",
            "telephone_number": "317-776-8600",
            "fax_number": "317-770-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY CREEK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-776-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.