Organization Active NPI

Mercy Seat Dentistry

  • Dentist
  • Bluffton, IN
National Provider Identifier
1861871170
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MERCY SEAT DENTISTRY
Practice address
2155 Commerce Drive
Bluffton, IN 46714
Phone
(260) 823-3328
Fax
(260) 353-1555
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. Nkechi Awele Wan, DDS
Title
President
Phone
(260) 823-3328

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

2155 Commerce Drive
Bluffton, IN 46714

Mailing address

2155 Commerce Drive
Bluffton, IN 46714
Phone (260) 823-3328

National Provider Directory

National Provider Directory

Locations

2155 Commerce Dr
Bluffton, IN 46714
Phone (260) 823-3328

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1861871170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 COMMERCE DRIVE",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "46714",
            "telephone_number": "260-823-3328",
            "fax_number": "260-353-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 COMMERCE DRIVE",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "46714",
            "telephone_number": "260-823-3328",
            "fax_number": "260-353-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SEAT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_middle_name": "AWELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-823-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.