NPIMap

Organization Active NPI

Dental Health Associates of Indiana

  • Pediatric Dentistry
  • Avon, IN
National Provider Identifier
1942370093
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12012042 Issued in IN
Legal business name
DENTAL HEALTH ASSOCIATES OF INDIANA
Practice address
8101 E US Highway 36 Ste a
Avon, IN 46123-8082
Phone
(317) 272-6990
Fax
(317) 272-6994
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mr. Tim Hoagland
Title
Executive
Phone
(502) 423-9111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 12012042 IN Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

8101 E US Highway 36 Ste a
Avon, IN 46123-8082

Mailing address

12802 Townepark Way
Suite 100
Louisville, KY 40243-2394
Phone (502) 423-9111

Other names 1

  • Avon Gentle Dentlst Other name

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Assoc of in13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1942370093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 TOWNEPARK WAY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432394",
            "telephone_number": "502-423-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E US HIGHWAY 36 STE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238082",
            "telephone_number": "317-272-6990",
            "fax_number": "317-272-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "502-423-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12012042",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Gentle Dentlst",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.