Greencastle Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12009491A Issued in IN

Legal business name

GREENCASTLE FAMILY DENTAL LLC

Practice address

403 N Indiana St
Greencastle, IN 46135-1020

Phone

(765) 653-9300

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven C Salkeld, DDS

Title

Member

Phone

(765) 653-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jonathan Hugh Bullen, DDS

  • General Practice Dentistry
  • Greencastle, IN
  • NPI 1457472755
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1669818241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N INDIANA ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N INDIANA ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351020",
            "telephone_number": "765-653-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "SALKELD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-653-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009491A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Glessner, LCSW
• Julia Goldbort, MS
• Kimberly S Grande, LMFT
• Greencastle 20/20 Dental, LLC
• Greencastle Community Schools
• Greencastle Fire Department
• Greencastle Hometown Dental Dennis M Knuth DDS LLC
• Greencastle Internal Medicine & Primary Care, LLC
• Greencastle Pediatric Dentistry, P.C.
• Greencastle Wound & Diabetic Foot Care Clinic, LLC

• Dentist in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.