Individual provider Active NPI

Steven F. Driggers, D.D.S.

  • General Practice Dentistry
  • Avon, IN
National Provider Identifier
1669486213
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008686 Issued in IN
Practice address
10100 E US Highway 36
Avon, IN 46123-7566
Phone
(317) 271-1330
Fax
(317) 271-1382
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008686 IN Primary

Addresses

Primary practice location

10100 E US Highway 36
Avon, IN 46123-7566

Mailing address

10100 E US Highway 36
Avon, IN 46123-7566
Phone (317) 271-1330

Other identifiers 1

IdentifierTypeStateIssuer
100228880AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12008686INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1669486213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237566",
            "telephone_number": "317-271-1330",
            "fax_number": "317-271-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237566",
            "telephone_number": "317-271-1330",
            "fax_number": "317-271-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "STEVEN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.