NPIMap

Organization Active NPI

Highland Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Highland, IN
National Provider Identifier
1790359370
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HIGHLAND PEDIATRIC DENTISTRY, P.C.
Practice address
2833 Lincoln St Ste 1
Highland, IN 46322-1957
Phone
(219) 838-2007
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Faith Ann Haupt
Title
Business Office Manager
Phone
(219) 985-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2833 Lincoln St Ste 1
Highland, IN 46322-1957

Mailing address

3506 Village CT
Gary, IN 46408-1428
Phone (219) 985-3133

National Provider Directory

National Provider Directory

Locations

3506 Village Ct
Gary, IN 46408
Phone (219) 985-3133

2833 Lincoln St
Ste 1
Highland, IN 46322
Phone (219) 838-2007

Practitioners & affiliated clinicians

Practitioners 4

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1790359370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 VILLAGE CT",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081428",
            "telephone_number": "219-985-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST STE 1",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221957",
            "telephone_number": "219-838-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "219-985-3133"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.