NPIMap

Organization Active NPI

BJS DDS, LLC

Doing business as Sugar Creek Smiles

  • Dental Clinic/Center
  • Crawfordsville, IN
National Provider Identifier
1609648179
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BJS DDS, LLC
Doing business as
Sugar Creek Smiles
Practice address
114 Walter Remley Dr
Crawfordsville, IN 47933-3350
Phone
(765) 267-8484
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Brandon J StaffordNPI 1417605742
Title
Owner
Phone
(507) 208-3987

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 NU Primary

Addresses

Primary practice location

114 Walter Remley Dr
Crawfordsville, IN 47933-3350

Mailing address

114 Walter Remley Dr
Crawfordsville, IN 47933-3350

Other names 1

  • Sugar Creek Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

114 Walter Remley Dr
Crawfordsville, IN 47933
Phone (765) 267-8484

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1609648179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WALTER REMLEY DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALTER REMLEY DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333350",
            "telephone_number": "765-267-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJS DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-208-3987"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Creek Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.