Granger Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007958B Issued in IN

Legal business name

GRANGER FAMILY DENTISTRY, PC

Practice address

12545 Adams Rd
Granger, IN 46530-9226

Phone

(574) 277-5406

Fax

(574) 277-5467

NPI assigned

Sep 13, 2006

Organization subpart

No

Name

Mr. Thomas John Anglemire, D.D.S.NPI 1891825626

Title

Owner / President

Phone

(574) 277-5406

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas John Anglemire, D.D.S.

  • General Practice Dentistry
  • Granger, IN
  • NPI 1891825626

  General Practice

  NPD (past) Authorized official
• Patrick Timothy Williams, D.D.S.

  • General Practice Dentistry
  • Granger, IN
  • NPI 1942330766

  General Practice

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2020.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1619072147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 ADAMS RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309226",
            "telephone_number": "574-277-5406",
            "fax_number": "574-277-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 ADAMS RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309226",
            "telephone_number": "574-277-5406",
            "fax_number": "574-277-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ANGLEMIRE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "574-277-5406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007958B",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009209B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jacob Gomola, DMD
• Roberta Gooding FNP
• Darren Robert Goodwin
• Granger Counseling
• Granger Dental Group, LLC
• Granger Family Eyecare Inc
• Granger Surgery Center LLC
• Granger Village Doctor PC
• Great Lakes Behavior Management Specialists, Inc.
• Greater Michiana Family Services, Inc.

• All providers in Granger, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.