Sisson Family Dentistry Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SISSON FAMILY DENTISTRY INC

Practice address

7550 S State Road 67
Pendleton, IN 46064-8961

Phone

(765) 778-2700

Fax

(765) 778-8600

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

James A Sisson, DDSNPI 1720002942

Title

Owner

Phone

(765) 778-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Allen Sisson, D.D.S.

  • General Practice Dentistry
  • Pendleton, IN
  • NPI 1720002942
  NPD (past) Authorized official

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1972067569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648961",
            "telephone_number": "765-778-2700",
            "fax_number": "765-778-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648961",
            "telephone_number": "765-778-2700",
            "fax_number": "765-778-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISSON FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-778-2700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242770A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Lee Savage
• Brooke Schaefer, FNP
• Constance Schultz-Heinz
• Alvin G Sehkar
• Simply Nursing LLC
• James Allen Sisson, D.D.S.
• Michael V Smith Jr., PH.D.
• South Madison Community School Corporation
• Jennifer A Southard, D.D.S.
• Susan Spencer, ED.D.

• Dental Clinic/Center in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Dental Clinic/Center in Indiana

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