Individual provider Active NPI

Daniel John Francis, DMD

  • Dentist
  • Jasper, IN
National Provider Identifier
1972956662
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012530A Issued in IN
Practice address
4115 Mannheim Rd
Jasper, IN 47546-2964
Phone
(812) 482-4347
Fax
(812) 482-2050
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012530A IN Primary

Addresses

Primary practice location

4115 Mannheim Rd
Jasper, IN 47546-2964

Mailing address

4223 Marywood Drive
Jasper, IN 47546
Phone (615) 310-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529001740 TN Order and Referring Only - DentistPractitioner - Dentist 0143563445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012530AINMDDentist
10697TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francis Family Dental LLC CurrentSince May 19, 2024 Accepting new patients

Locations

1877 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-0191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1972956662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 MARYWOOD DRIVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "615-310-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462964",
            "telephone_number": "812-482-4347",
            "fax_number": "812-482-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012530A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.