Organization Active NPI

Hearn Dental Care LLC

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1629288030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARN DENTAL CARE LLC
Practice address
1811 Dogwood Dr
Kokomo, IN 46902-5738
Phone
(765) 457-4000
Fax
(765) 457-4060
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Carl Hearn, D.D.S.NPI 1457410730
Title
Partner
Phone
(765) 457-4000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1811 Dogwood Dr
Kokomo, IN 46902-5738

Mailing address

1811 Dogwood Dr
Kokomo, IN 46902-5738
Phone (765) 457-4000

National Provider Directory

National Provider Directory

Locations

1811 Dogwood Dr
Kokomo, IN 46902
Phone (765) 457-4000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629288030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025738",
            "telephone_number": "765-457-4000",
            "fax_number": "765-457-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025738",
            "telephone_number": "765-457-4000",
            "fax_number": "765-457-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "765-457-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "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 Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.