Organization Active NPI

Greenfield Dental Health Care, P.C.

  • General Practice Dentistry
  • Greenfield, IN
National Provider Identifier
1710087945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREENFIELD DENTAL HEALTH CARE, P.C.
Practice address
737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375
Phone
(317) 462-2849
Fax
(317) 462-6754
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd M. Kaminski, D.D.S.NPI 1033219233
Title
President/Ceo
Phone
(317) 462-2849

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 NU Primary

Addresses

Primary practice location

737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375

Mailing address

737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375
Phone (317) 462-2849

Other identifiers 2

IdentifierTypeStateIssuer
76489OtherUNITED CONCORDIA
000000088172OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

737 W Green Meadows Dr
Ste 100
Greenfield, IN 46140
Phone (317) 462-2849

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710087945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W GREEN MEADOWS DR STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402375",
            "telephone_number": "317-462-2849",
            "fax_number": "317-462-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W GREEN MEADOWS DR STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402375",
            "telephone_number": "317-462-2849",
            "fax_number": "317-462-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD DENTAL HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-462-2849",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "76489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000088172",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.