Greencastle Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GREENCASTLE PEDIATRIC DENTISTRY, P.C.

Practice address

821 E Franklin St
Greencastle, IN 46135-1407

Phone

(765) 653-5437

NPI assigned

Jan 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Hubbard

Title

Office MNG

Phone

(765) 653-5437

Specialties & licenses 1

Addresses

Locations

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.

• John Hennette, D.D.S.

  • Pediatric Dentistry
  • Greencastle, IN
  • NPI 1255433439
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942280466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E FRANKLIN ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E FRANKLIN ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351407",
            "telephone_number": "765-653-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MNG",
        "authorized_official_telephone_number": "765-653-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greencastle Community Schools
• Greencastle Family Dental LLC
• Greencastle Fire Department
• Greencastle Hometown Dental Dennis M Knuth DDS LLC
• Greencastle Internal Medicine & Primary Care, LLC
• Greencastle Wound & Diabetic Foot Care Clinic, LLC
• Jessica Gregory, DPT
• Tina Marie Grzesiek, MED, LMHC
• Denisha Gude, RD, CDCES
• Pamela Guthrie, PHD, HSPP

• Pediatric Dentistry in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.