Organization Active NPI

Kristin Stevens

Doing business as Center Grove Family Dentistry LLC

  • General Practice Dentistry
  • Greenwood, IN
National Provider Identifier
1922805969
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KRISTIN STEVENS
Doing business as
Center Grove Family Dentistry LLC
Practice address
5873 N State Road 135
Greenwood, IN 46143-5616
Phone
(317) 548-2627
Fax
(317) 548-2627
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Kristin Stevens, DDSNPI 1144532318
Title
Owner/Dentist
Phone
(317) 548-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5873 N State Road 135
Greenwood, IN 46143-5616

Mailing address

5873 N State Road 135
Greenwood, IN 46143-5616
Phone (317) 548-2627

Other names 1

  • Center Grove Family Dentistry LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5873 N State Road 135
Greenwood, IN 46143
Phone (317) 548-2627

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": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1922805969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5873 N STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435616",
            "telephone_number": "317-548-2627",
            "fax_number": "317-548-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5873 N STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435616",
            "telephone_number": "317-548-2627",
            "fax_number": "317-548-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN STEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-548-2627",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Grove Family Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.