NPIMap

Organization Active NPI

Decatur Family Dentistry of Adams County LLC

Doing business as Decatur Family Dentistry

  • General Practice Dentistry
  • Decatur, IN
National Provider Identifier
1871362855
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DECATUR FAMILY DENTISTRY OF ADAMS COUNTY LLC
Doing business as
Decatur Family Dentistry
Practice address
1020 Southampton Dr
Decatur, IN 46733-1049
Phone
(260) 724-8410
Fax
(260) 724-0474
NPI assigned
Jan 1, 2024
Last updated
Jan 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Ronald Lynn Hammond, DDSNPI 1720133176
Title
Sole Member
Phone
(260) 724-8410

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1020 Southampton Dr
Decatur, IN 46733-1049

Mailing address

1020 Southampton Dr
Decatur, IN 46733-1049
Phone (260) 724-8410

Other names 1

  • Decatur Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1020 Southampton Dr
Decatur, IN 46733
Phone (260) 223-7533

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1871362855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SOUTHAMPTON DR",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331049",
            "telephone_number": "260-724-8410",
            "fax_number": "260-724-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTHAMPTON DR",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331049",
            "telephone_number": "260-724-8410",
            "fax_number": "260-724-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR FAMILY DENTISTRY OF ADAMS COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "260-724-8410",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.