Organization Active NPI

Gentle Family Dentistry PC

  • General Practice Dentistry
  • Lebanon, IN
National Provider Identifier
1801448030
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE FAMILY DENTISTRY PC
Practice address
1705 Indianapolis Ave
Lebanon, IN 46052-2936
Phone
(765) 482-1060
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Lisa Conard, DMDNPI 1205918786
Title
Owner
Phone
(765) 482-1060

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1705 Indianapolis Ave
Lebanon, IN 46052-2936

Mailing address

1705 Indianapolis Ave
Lebanon, IN 46052-2936
Phone (765) 482-1060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lconard1@att.net Direct

National Provider Directory

National Provider Directory

Locations

1705 Indianapolis Ave
Lebanon, IN 46052
Phone (765) 428-1060

Practitioners & affiliated clinicians

Practitioners 1

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": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1801448030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 INDIANAPOLIS AVE",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522936",
            "telephone_number": "765-482-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 INDIANAPOLIS AVE",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522936",
            "telephone_number": "765-482-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-482-1060",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lconard1@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1705 Indianapolis Ave",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460522936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.