Organization Active NPI

Patterson Family Dentistry, P.C.

  • General Practice Dentistry
  • Columbia City, IN
National Provider Identifier
1730210972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PATTERSON FAMILY DENTISTRY, P.C.
Practice address
788 W Connexion Way Unit a
Columbia City, IN 46725-1047
Phone
(260) 248-4858
Fax
(260) 248-4859
NPI assigned
Mar 8, 2007
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
Dr. Ryan E Patterson, D.D.S.
Title
President
Phone
(260) 248-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

788 W Connexion Way Unit a
Columbia City, IN 46725-1047

Mailing address

788 W Connexion Way Unit a
Columbia City, IN 46725-1047
Phone (260) 248-4858

National Provider Directory

National Provider Directory

Locations

788 W Connexion Way
Unit A
Columbia City, IN 46725
Phone (260) 248-4858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730210972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 W CONNEXION WAY UNIT A",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251047",
            "telephone_number": "260-248-4858",
            "fax_number": "260-248-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 W CONNEXION WAY UNIT A",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251047",
            "telephone_number": "260-248-4858",
            "fax_number": "260-248-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-248-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, 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.