Organization Active NPI

Anderson Dental Ctr

  • General Practice Dentistry
  • Anderson, IN
National Provider Identifier
1881840049
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDERSON DENTAL CTR
Practice address
1537 S Scatterfield Rd Ste C
Anderson, IN 46016-5783
Phone
(765) 649-4995
Fax
(765) 683-9126
NPI assigned
Aug 7, 2008
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Sally E Metzner
Title
Owner
Phone
(765) 649-4995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1537 S Scatterfield Rd Ste C
Anderson, IN 46016-5783

Mailing address

1537 S Scatterfield Rd Ste C
Anderson, IN 46016-5783
Phone (765) 649-4995

National Provider Directory

National Provider Directory

Locations

1537 S Scatterfield Rd
Ste C
Anderson, IN 46016
Phone (765) 649-4995

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1881840049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD STE C",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165783",
            "telephone_number": "765-649-4995",
            "fax_number": "765-683-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD STE C",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165783",
            "telephone_number": "765-649-4995",
            "fax_number": "765-683-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "METZNER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-649-4995"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.