Organization Active NPI

Greenwood Springs Dental LLC

  • General Practice Dentistry
  • Greenwood, IN
National Provider Identifier
1588062996
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREENWOOD SPRINGS DENTAL LLC
Practice address
1273 N Emerson Ave
Greenwood, IN 46143-6672
Phone
(317) 644-1105
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Christina Hubbard
Title
District Manager
Phone
(317) 644-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1273 N Emerson Ave
Greenwood, IN 46143-6672

Mailing address

1273 N Emerson Ave
Greenwood, IN 46143-6672
Phone (317) 644-1105

National Provider Directory

National Provider Directory

Locations

1273 N Emerson Ave
Greenwood, IN 46143
Phone (317) 644-1105

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1588062996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 N EMERSON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436672",
            "telephone_number": "317-644-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 N EMERSON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436672",
            "telephone_number": "317-644-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD SPRINGS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "317-644-1105"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.