NPIMap

Organization Active NPI

Dental Professionals of in, PC

Doing business as Dental Care of Elkhart

  • Dentist
  • Elkhart, IN
National Provider Identifier
1861738015
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL PROFESSIONALS OF IN, PC
Doing business as
Dental Care of Elkhart
Practice address
505 Vistula St
Elkhart, IN 46516-2809
Phone
(217) 540-5100
NPI assigned
Dec 17, 2012
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF IN, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Marie Kuhl
Title
Credentialing Manager
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

505 Vistula St
Elkhart, IN 46516-2809

Mailing address

505 Vistula St
Elkhart, IN 46516-2809
Phone (217) 540-5100

Other names 1

  • Dental Care of Elkhart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of in PC48 organizations share this tax ID, including this one
Part of
Dental Professionals of in PC

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

505 Vistula St
Elkhart, IN 46516
Phone (574) 293-2003

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1861738015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 VISTULA ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465162809",
            "telephone_number": "217-540-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 VISTULA ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465162809",
            "telephone_number": "217-540-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF IN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF IN, PC",
        "enumeration_date": "2012-12-17",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Elkhart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.