Valerie Haughtington, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009354 Issued in IN

Legal business name

VALERIE HAUGHTINGTON, DDS PC

Practice address

1200 S Woodland Ave
Michigan City, IN 46360-7383

Phone

(219) 872-2110

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Valerie HaughtingtonNPI 1245390236

Title

Owner/Dentist

Phone

(219) 872-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Valerie Haughtington, DDS

  • General Practice Dentistry
  • Michigan City, IN
  • NPI 1245390236
  Authorized official Same address or phone

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1548638505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WOODLAND AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WOODLAND AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607383",
            "telephone_number": "219-872-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE HAUGHTINGTON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "HAUGHTINGTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "219-872-2110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376490B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Michigan City, IN
• Providers in Michigan City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.