Kids Dentistree - Corydon LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIDS DENTISTREE - CORYDON LLC

Practice address

2086 Old Hwy 135 NW
Corydon, IN 47112-4015

Phone

(812) 572-4999

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Stephen C James

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1922530419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 OLD HWY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124015",
            "telephone_number": "812-572-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 OLD HWY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124015",
            "telephone_number": "812-572-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTISTREE - CORYDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kaufer
• Autumn L Kaylor
• Jennifer Lynn Kellems, OD
• Paul D Kelty, MD
• Luke Michael Keusch, D.D.S.
• Jessica Nicole King
• Kevin Andrew Kline, D.O.
• Taryne Knott, LCSW
• Dawn M. Kopp, FNP-C
• Jennifer Catherine Krider, MT-BC

• Dentist in Corydon, IN
• Providers in Corydon, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.