Organization Active NPI

PFD LLC

  • General Practice Dentistry
  • Pendleton, IN
National Provider Identifier
1730531609
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PFD LLC
Practice address
7073 S State Road 67
Pendleton, IN 46064-9079
Phone
(765) 778-2176
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dana Pereira
Title
Front Office
Phone
(765) 778-2176

Specialties & licenses 1

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

Addresses

Primary practice location

7073 S State Road 67
Pendleton, IN 46064-9079

Mailing address

7073 S State Road 67
Pendleton, IN 46064-9079
Phone (765) 778-2176

National Provider Directory

National Provider Directory

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": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1730531609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7073 S STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649079",
            "telephone_number": "765-778-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7073 S STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649079",
            "telephone_number": "765-778-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "765-778-2176"
    },
    "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 Pendleton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.