Organization Active NPI

Garrett Family Dentistry LLC

Doing business as Garrett Family Dentistry

  • General Practice Dentistry
  • Garrett, IN
National Provider Identifier
1881246726
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARRETT FAMILY DENTISTRY LLC
Doing business as
Garrett Family Dentistry
Practice address
125 S Randolph St
Garrett, IN 46738-1467
Phone
(260) 357-3171
Fax
(260) 357-0907
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Maria Pedroza
Title
Office Manager
Phone
(260) 894-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

125 S Randolph St
Garrett, IN 46738-1467

Mailing address

907 Lincolnway S
Ligonier, IN 46767-1707
Phone (260) 894-4044

Other names 1

  • Garrett Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

125 S Randolph St
Garrett, IN 46738
Phone (260) 357-3171

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1881246726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LINCOLNWAY S",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467671707",
            "telephone_number": "260-894-4044",
            "fax_number": "260-577-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S RANDOLPH ST",
            "city": "GARRETT",
            "state": "IN",
            "postal_code": "467381467",
            "telephone_number": "260-357-3171",
            "fax_number": "260-357-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-894-4044"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrett Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garrett, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.