NPIMap

Organization Active NPI

Smile Center P.C.

  • General Practice Dentistry
  • Huntingburg, IN
National Provider Identifier
1861500423
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE CENTER P.C.
Practice address
7120 S US Highway 231
Huntingburg, IN 47542-9319
Phone
(812) 683-2431
Fax
(812) 683-4603
NPI assigned
Aug 25, 2006
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Michael G WarrenNPI 1124135900
Title
President
Phone
(812) 683-2431

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7120 S US Highway 231
Huntingburg, IN 47542-9319

Mailing address

PO Box 143
Huntingburg, IN 47542-0143
Phone (812) 683-2431

Other identifiers 3

IdentifierTypeStateIssuer
200449030AMedicaidIN
612224OtherINUNITED CONCORDIA
200130OtherINCHILDREN'S SPECIAL HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1861500423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475420143",
            "telephone_number": "812-683-2431",
            "fax_number": "812-683-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 S US HIGHWAY 231",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429319",
            "telephone_number": "812-683-2431",
            "fax_number": "812-683-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-683-2431",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449030A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "612224",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S SPECIAL HEALTH",
            "identifier": "200130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.