Active NPI
Something Cool LLC
- Periodontics
- Lafayette, IN
National Provider Identifier
1699341420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- SOMETHING COOL LLC
- Practice address
- 415 N 26TH St Ste 303
Lafayette, IN 47904-2893 - Phone
- (765) 447-9319
- NPI assigned
- Jun 2, 2021
- Last updated
- Jun 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Royer
- Title
- Practice Manager
- Phone
- (765) 447-9319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | NU | Primary |
Addresses
Primary practice location
415 N 26TH St Ste 303
Lafayette, IN 47904-2893
Mailing address
415 N 26TH St Ste 303
Lafayette, IN 47904-2893
Phone (765) 447-9319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12013130A | Other | IN | STATE DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lafayette |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1699341420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 303",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042893",
"telephone_number": "765-447-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 303",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042893",
"telephone_number": "765-447-9319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMETHING COOL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A",
"authorized_official_last_name": "ROYER",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "765-447-9319"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "12013130A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lafayette",
"affiliation": "N",
"address_1": "415 N 26th St Ste 303",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479042893",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.