North Point Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12009640 Issued in IN

Legal business name

NORTH POINT PEDIATRIC DENTISTRY

Practice address

3434 E. Douglas Rd
South Bend, IN 46635-1776

Phone

(574) 273-8393

Fax

(574) 273-8818

NPI assigned

Feb 11, 2008

Last updated

Apr 25, 2012By 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

Dr. David F Fishbaugh, DDS, MSNPI 1750331229

Title

Owner

Phone

(574) 273-8393

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• David Francis Fishbaugh, DDS, MS

  • Pediatric Dentistry
  • South Bend, IN
  • NPI 1750331229
  NPD (past) Authorized official
• Cara Ann Kilgore, DDS

  • Pediatric Dentistry
  • South Bend, IN
  • NPI 1902111701
  NPD (past)
• Stephen Spiritoso, DDS

  • Pediatric Dentistry
  • South Bend, IN
  • NPI 1083004063
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1538347745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 E. DOUGLAS RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351776",
            "telephone_number": "574-273-8393",
            "fax_number": "574-273-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 E. DOUGLAS RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351776",
            "telephone_number": "574-273-8393",
            "fax_number": "574-273-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POINT PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "FISHBAUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-273-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12009640A",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12009640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200349220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill O Noreuil, MD
• Staci-Marie Balog Norman, PHARMD, CDE
• Barbara Ann Norris, APRN,BC
• Sean P Norris, HAD
• North Central Neurology, LLC (John A Galea, M.D.)
• Northen Indiana Health Center
• Northern Brace Company Inc (Northern Brace Northern Prosthetics)
• Northern Brace Company Inc (Northern Brace Northern Prosthetics)
• Northern Indiana Anesthesia Associates, LLC
• Northern Indiana Health Center

• Dental Clinic/Center in South Bend, IN
• Providers in South Bend, 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 Apr 25, 2012; 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.