NPIMap

Organization Active NPI

Kenneth G Dale, DDS, LLC

Doing business as Dale Family Dentistry

  • General Practice Dentistry
  • New Albany, IN
National Provider Identifier
1689049561
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009112 Issued in IN
Legal business name
KENNETH G DALE, DDS, LLC
Doing business as
Dale Family Dentistry
Practice address
2241 State St Ste C
New Albany, IN 47150-4949
Phone
(812) 945-5100
Fax
(812) 945-5101
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Kenneth G Dale, DDSNPI 1225017346
Title
Owner
Phone
(812) 945-5100

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 Dentistry 1223G0001X 12009112 IN Primary

Addresses

Primary practice location

2241 State St Ste C
New Albany, IN 47150-4949

Mailing address

2241 State St Ste C
New Albany, IN 47150-4949
Phone (812) 945-5100

Other names 1

  • DALE FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

2241 State St
Ste C
New Albany, IN 47150
Phone (812) 945-5100

Practitioners & affiliated clinicians

Practitioners 11

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1689049561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 STATE ST STE C",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504949",
            "telephone_number": "812-945-5100",
            "fax_number": "812-945-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 STATE ST STE C",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504949",
            "telephone_number": "812-945-5100",
            "fax_number": "812-945-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G DALE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-945-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALE FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.