Active NPI
Affordable Smiles
- General Practice Dentistry
- Evansville, IN
National Provider Identifier
1619129012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AFFORDABLE SMILES
- Practice address
- 1030 Washington Ave
Evansville, IN 47714-1844 - Phone
- (812) 490-9995
- NPI assigned
- Oct 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Doughty
- Title
- Office Manager
- Phone
- (812) 490-9995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1030 Washington Ave
Evansville, IN 47714-1844
Mailing address
1030 Washington Ave
Evansville, IN 47714-1844
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
1030 Washington Ave
Evansville, IN 47714
Phone (812) 490-9995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1619129012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141844",
"telephone_number": "812-490-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "DOUGHTY",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "812-490-9995"
},
"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 Evansville, IN
- Affinity Counseling Associates
- Affordable Dentures - Evansville IV, P.C.
- Affordable Dentures - Evansville LLL, P.C.
- Affordable Dentures & Implants - Evansville, P.C.
- Affordable Dentures-Evansville V, P.C.
- Agape OBGYN PC
- Kathy L Agnew, PT
- Gautam Kumar Agrawal, M.D.
- Aha Now Counseling, LLC
- Bruce Ahlemeier, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.