Terre Haute Endodontics PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

TERRE HAUTE ENDODONTICS PC

Practice address

221 S 19TH St
Terre Haute, IN 47807-4129

Phone

(812) 235-1598

Fax

(812) 235-1999

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia H Clark, DDS MSDNPI 1306140447

Title

Dr Patricia H Clark

Phone

(812) 235-1598

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Patricia H Clark Former legal business name

Locations

Practitioners 2

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

• Patricia Clark

  • Endodontics
  • Terre Haute, IN
  • NPI 1306140447
  NPD (past) Authorized official
• James M. Humphrey, DDS, MSD

  • Periodontics
  • Terre Haute, IN
  • NPI 1023267770
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1730116112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 19TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074129",
            "telephone_number": "812-235-1598",
            "fax_number": "812-235-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 19TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074129",
            "telephone_number": "812-235-1598",
            "fax_number": "812-235-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRE HAUTE ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DR PATRICIA H CLARK",
        "authorized_official_telephone_number": "812-235-1598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Patricia H Clark",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Philip M Tenbrink, M.D.
• Terre Haute Aal LP (Silver Birch of Terre Haute)
• Terre Haute Anesthesiology LLC
• Terre Haute Counseling Services, LLC
• Terre Haute Endocrinology and Diabetes LLC
• Terre Haute Heart Center, Inc
• Terre Haute Heart Lung Vascular Asso LLC
• Terre Haute Home Health Care Products Inc (Anderson's Medical Products)
• Terre Haute Medical Corporation, PC
• Terre Haute Medical Laboratory, Inc (Medlab)

• Endodontics in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.