NPIMap

Organization Active NPI

Summit Dental LLC

  • Dentist
  • Knox, IN
National Provider Identifier
1972882736
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009766 Issued in IN
Legal business name
SUMMIT DENTAL LLC
Practice address
1006 S Edgewood Dr
Suite a
Knox, IN 46534-8226
Phone
(574) 772-3541
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Christopher Hulen, DDS
Title
President
Phone
(574) 772-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009766 IN Primary

Addresses

Primary practice location

1006 S Edgewood Dr
Suite a
Knox, IN 46534-8226

Mailing address

1006 Edgewood Drive
Suite a
Knox, IN 46534-8226
Phone (574) 772-3541

National Provider Directory

National Provider Directory

Locations

1006 S Edgewood Dr
Ste A
Knox, IN 46534
Phone (574) 772-3541

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1972882736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 EDGEWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S EDGEWOOD DR",
            "address_2": "SUITE A",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "HULEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-772-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.