New Haven Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEW HAVEN DENTAL GROUP

Practice address

615 Professional Park Dr
New Haven, IN 46774-1850

Phone

(260) 493-2113

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Rutherford

Title

Office Manager

Phone

(260) 432-8596

Specialties & licenses 1

Addresses

Practitioners 4

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.

• David Baker, DDS

  • Dentist
  • New Haven, IN
  • NPI 1144896895
  NPD (past)
• Robert P Ellison

  • Dentist
  • New Haven, IN
  • NPI 1407138837
  NPD (past)
• Todd Kleinrichert, D.D.S.

  • Dentist
  • Churubusco, IN
  • NPI 1447372362

  General Practice

  NPD (past)
• Douglas Ryan Natal

  • Dentist
  • New Haven, IN
  • NPI 1053052688
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1861841652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741850",
            "telephone_number": "260-493-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741850",
            "telephone_number": "260-493-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-432-8596"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley S Miller, DPT
• Jackline R Muia
• Levi Myers, DO
• Natal Dental LLC
• Douglas Ryan Natal
• New Haven EMS - Emergency 45 (New Haven/Adams Twp EMS)
• New Haven Optical, LLC
• Rachel Ottenweller
• Ourhealth Professional Physician Group, LLC (East Allen County Schools Wellness Center)
• Jeremy Oyer

• General Practice Dentistry in New Haven, IN
• Providers in New Haven, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.