NPIMap

Organization Active NPI

Rushville Family Dental, P.C.

  • Dentist
  • Rushville, IN
National Provider Identifier
1740452242
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009504 Issued in IN
Legal business name
RUSHVILLE FAMILY DENTAL, P.C.
Practice address
610 E 11TH St
Rushville, IN 46173-1319
Phone
(765) 932-4861
Fax
(765) 932-5174
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Randy Carl Young, D.D.S.NPI 1396966073
Title
President
Phone
(765) 932-4861

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
Dentist 122300000X 12009504 IN Primary

Addresses

Primary practice location

610 E 11TH St
Rushville, IN 46173-1319

Mailing address

610 E 11TH St
Rushville, IN 46173-1319
Phone (765) 932-4861

National Provider Directory

National Provider Directory

Locations

610 E 11th St
Rushville, IN 46173
Phone (765) 932-4861

Practitioners & affiliated clinicians

Practitioners 1

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1740452242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-4861",
            "fax_number": "765-932-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-4861",
            "fax_number": "765-932-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHVILLE FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-932-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.