NPIMap

Organization Active NPI

Richard R. Nowakowski, DDS, LLC

  • Dentist
  • Muncie, IN
National Provider Identifier
1972723930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12008600A Issued in IN
Legal business name
RICHARD R. NOWAKOWSKI, DDS, LLC
Practice address
3701 N Everett Rd
Muncie, IN 47304-5610
Phone
(765) 288-2040
Fax
(765) 288-2074
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Roy Nowakowski, DDSNPI 1619985710
Title
Owner
Phone
(765) 288-2040

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12008600A IN Primary

Addresses

Primary practice location

3701 N Everett Rd
Muncie, IN 47304-5610

Mailing address

3701 N Everett Rd
Muncie, IN 47304-5610
Phone (765) 288-2040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972723930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N EVERETT RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045610",
            "telephone_number": "765-288-2040",
            "fax_number": "765-288-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N EVERETT RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045610",
            "telephone_number": "765-288-2040",
            "fax_number": "765-288-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. NOWAKOWSKI, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-288-2040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008600A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • 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.