Elkhart Pediatric Dentistry LTD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ELKHART PEDIATRIC DENTISTRY LTD

Practice address

4420 E Bristol St
Elkhart, IN 46514-6946

Phone

(574) 264-9499

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin MurphyNPI 1801805189

Title

Owner

Phone

(843) 324-3410

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kristin Kay Murphy

  • Pediatric Dentistry
  • Grants, NM
  • NPI 1801805189
  NPD Authorized official
• Gregory Alan Robbins, DDS, MSD

  • Pediatric Dentistry
  • Elkhart, IN
  • NPI 1164450615
  NPD (past)

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1669250361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2667",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814352667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146946",
            "telephone_number": "574-264-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART PEDIATRIC DENTISTRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-324-3410"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elkhart General Hospital, Inc. (Women's Center - Continence Clinic)
• Elkhart General Hospital, Inc. (Elkhart Cardiology Diagnostics)
• Elkhart Neurology PC
• Elkhart Ophthalmology, LLC
• Elkhart Oral and Maxillofacial Surgery Inc.
• Elkhart Place Assisted Living LLC
• Elkhart Podiatry Clinic, P.C.
• Elkhart Taxi Dba
• Jessica Eller
• Catherine Elliott, CMT, PTA

• Pediatric Dentistry in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.