NPIMap

Organization Active NPI

Lucas Ian Trout, DDS, LLC

Doing business as Hadley Dental Group

  • Dental Clinic/Center
  • Monticello, IN
National Provider Identifier
1740876168
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUCAS IAN TROUT, DDS, LLC
Doing business as
Hadley Dental Group
Practice address
210 W Harrison St
Monticello, IN 47960-2208
Phone
(765) 748-0809
NPI assigned
Dec 20, 2020
Last updated
Dec 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Authorized official

Name
Dr. Lucas Ian Trout, DDSNPI 1104440296
Title
Dentist
Phone
(765) 748-0809

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

210 W Harrison St
Monticello, IN 47960-2208

Mailing address

6535 E 175 N
Monticello, IN 47960-7488
Phone (765) 748-0809

Other names 1

  • Hadley Dental Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

National Provider Directory

National Provider Directory

Locations

210 W Harrison St
Monticello, IN 47960
Phone (574) 583-8060

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": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1740876168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 E 175 N",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479607488",
            "telephone_number": "765-748-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602208",
            "telephone_number": "765-748-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS IAN TROUT, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "765-748-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "210 W Harrison St",
            "city": "Monticello",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479602208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hadley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.