NPIMap

Organization Active NPI

Popovich Dental Corporation

  • Dentist
  • Crown Point, IN
National Provider Identifier
1750660221
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010460A Issued in IN
Legal business name
POPOVICH DENTAL CORPORATION
Practice address
223 S Court St
Crown Point, IN 46307-3951
Phone
(219) 663-0252
Fax
(219) 663-3249
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Dr. James Gabriel Popovich, D.D.S.NPI 1629287115
Title
Ceo
Phone
(219) 663-0252

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12006634 IN
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12010460A IN Primary

Addresses

Primary practice location

223 S Court St
Crown Point, IN 46307-3951

Mailing address

223 S Court St
Crown Point, IN 46307-3951
Phone (219) 663-0252

National Provider Directory

National Provider Directory

Locations

223 S Court St
Crown Point, IN 46307
Phone (219) 663-0252

Practitioners & affiliated clinicians

Practitioners 2

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": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1750660221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073951",
            "telephone_number": "219-663-0252",
            "fax_number": "219-663-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073951",
            "telephone_number": "219-663-0252",
            "fax_number": "219-663-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPOVICH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "POPOVICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-663-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006634",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010460A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.