NPIMap

Organization Active NPI

Tracyco, LLC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1730449356
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010497A Issued in IN
Legal business name
TRACYCO, LLC
Practice address
9850 E 79TH St
Indianapolis, IN 46256-4822
Phone
(317) 645-7003
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Joseph B Hadley, DDS
Title
Member
Phone
(317) 645-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12010497A IN Primary

Addresses

Primary practice location

9850 E 79TH St
Indianapolis, IN 46256-4822

Mailing address

9850 E 79TH St
Indianapolis, IN 46256-4822
Phone (317) 645-7003

Other names 1

  • Hadley Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1730449356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564822",
            "telephone_number": "317-645-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564822",
            "telephone_number": "317-645-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACYCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-645-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010497A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hadley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.