Trinoda G Radcliffe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010399A Issued in IN

Practice address

1901 Grant St
Gary, IN 46404-2761

Phone

(219) 880-1430

Fax

(219) 880-1431

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radcliffe Family Dental, LLC

  • General Practice Dentistry
  • Gary, IN
  • NPI 1023201175
  NPD (past) Authorized official
• Indiana Dental Associates

  • General Practice Dentistry
  • Gary, IN
  • NPI 1548037278
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1912030826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464042761",
            "telephone_number": "219-880-1430",
            "fax_number": "219-880-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464042761",
            "telephone_number": "219-880-1430",
            "fax_number": "219-880-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "TRINODA",
        "middle_name": "G",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Purkey
• Purpose-Driven Community Services, LLC
• R & L Supportive Living Corp.
• R&L Supportive Living Corp.
• Radcliffe Family Dental, LLC
• Francisco Javier Ramirez
• Morgan Ramsey, BSN, RN
• Ranburn Drugs Inc
• Dawn Randle
• Dianne Randolph

• General Practice Dentistry in Gary, IN
• Providers in Gary, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.