NPIMap

Organization Active NPI

Puntillo Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Crown Point, IN
National Provider Identifier
1649395567
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12009367A Issued in IN
Legal business name
PUNTILLO ORTHODONTICS, PC
Practice address
1539 South Court St
Crown Point, IN 46307-4809
Phone
(219) 662-2264
Fax
(219) 662-2331
NPI assigned
Mar 20, 2007
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Dr. Anthony Myers Puntillo, D.D.S., M.S.DNPI 1558486472
Title
President
Phone
(219) 662-2264

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12009367A IN Primary

Addresses

Primary practice location

1539 South Court St
Crown Point, IN 46307-4809

Mailing address

1539 South Court St
Crown Point, IN 46307-4809
Phone (219) 662-2264

National Provider Directory

National Provider Directory

Locations

1539 S Court St
Crown Point, IN 46307
Phone (219) 662-2264

1549 S Court St
#A
Crown Point, IN 46307
Phone (219) 305-2773

Practitioners & affiliated clinicians

Practitioners 3

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1649395567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 SOUTH COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074809",
            "telephone_number": "219-662-2264",
            "fax_number": "219-662-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 SOUTH COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074809",
            "telephone_number": "219-662-2264",
            "fax_number": "219-662-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNTILLO ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "PUNTILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MYERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-662-2264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009367A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.