Organization Active NPI

Tosh Family Dental

  • Dental Clinic/Center
  • Lebanon, IN
National Provider Identifier
1548601776
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOSH FAMILY DENTAL
Practice address
905 N Lebanon St
Lebanon, IN 46052-1725
Phone
(765) 482-3201
Fax
(765) 482-3230
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Michael Rory Tosh, DDSNPI 1801863592
Title
Owner/Dentist
Phone
(765) 482-3201

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

905 N Lebanon St
Lebanon, IN 46052-1725

Mailing address

905 N Lebanon St
Lebanon, IN 46052-1725
Phone (765) 482-3201

Other identifiers 1

IdentifierTypeStateIssuer
1801863592MedicaidIN

National Provider Directory

National Provider Directory

Locations

905 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-3201

Practitioners & affiliated clinicians

Practitioners 1

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": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1548601776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521725",
            "telephone_number": "765-482-3201",
            "fax_number": "765-482-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521725",
            "telephone_number": "765-482-3201",
            "fax_number": "765-482-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOSH FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TOSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RORY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "765-482-3201",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801863592",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.