John L. Havlick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007779A Issued in IN

Legal business name

JOHN L. HAVLICK, D.D.S.

Practice address

1302 Vale Park Rd
Valparaiso, IN 46383-2722

Phone

(219) 462-0780

Fax

(219) 464-0229

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tara L. Pritchard

Title

Office Manager

Phone

(219) 462-0780

Specialties & licenses 1

Addresses

Practitioners 1

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

• John L. Havlick, D.D.S.

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1306864442
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1740454230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 VALE PARK RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832722",
            "telephone_number": "219-462-0780",
            "fax_number": "219-464-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 VALE PARK RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832722",
            "telephone_number": "219-462-0780",
            "fax_number": "219-464-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. HAVLICK, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-462-0780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hippie LCSW, Lcac
• Amanda Jennings, LSW
• JLD Chiropractic PC
• Christiane Johanssen
• John D Roscoe MD PC
• John N. Kostidis
• John W. Frantom
• Sajiv John, M.D.
• Amy Allison Johnson, M.A., CCC-SLP
• Dawn Johnson, MSW

• General Practice Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.