Arch Complete Family Dental Group, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ARCH COMPLETE FAMILY DENTAL GROUP, INC.

Practice address

123 E 113TH Ave
Crown Point, IN 46307-9706

Phone

(219) 310-8807

Fax

(219) 779-9437

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Justyn Anthony Arch

Title

President

Phone

(219) 310-8807

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1831601566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E 113TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079706",
            "telephone_number": "219-310-8807",
            "fax_number": "219-779-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 113TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079706",
            "telephone_number": "219-310-8807",
            "fax_number": "219-779-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH COMPLETE FAMILY DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "ARCH",
        "authorized_official_first_name": "JUSTYN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-310-8807"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Appleberry, RBT
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• Andrea M Arce, CSFA,LMT,MLD-C
• Rommel Panaligan Arevalo, P.T.
• Heather Arnold, PHARMD
• Kelli L Arnold, NP
• Susan R Arnold, RN
• Jonna Marie Arseneault, OTR

• Dental Clinic/Center in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.