NPIMap

Organization Active NPI

Turtle Town Dental LLC

  • Dental Clinic/Center
  • Churubusco, IN
National Provider Identifier
1891218137
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12007976 Issued in IN
Legal business name
TURTLE TOWN DENTAL LLC
Practice address
210 W Whitley St
Churubusco, IN 46723-1720
Phone
(260) 693-3921
Fax
(260) 693-1376
NPI assigned
Jul 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert John Ueber, DDS
Title
President
Phone
(260) 434-0777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12010006 IN
Dental Clinic/Center 261QD0000X 12007976 IN Primary

Addresses

Primary practice location

210 W Whitley St
Churubusco, IN 46723-1720

Mailing address

210 W Whitley St
Churubusco, IN 46723-1720
Phone (260) 693-3921

Other identifiers 2

IdentifierTypeStateIssuer
1447372362MedicaidIN
1992783294MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891218137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WHITLEY ST",
            "city": "CHURUBUSCO",
            "state": "IN",
            "postal_code": "467231720",
            "telephone_number": "260-693-3921",
            "fax_number": "260-693-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WHITLEY ST",
            "city": "CHURUBUSCO",
            "state": "IN",
            "postal_code": "467231720",
            "telephone_number": "260-693-3921",
            "fax_number": "260-693-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE TOWN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-434-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010006",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447372362",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992783294",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Churubusco, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.