Organization Active NPI

James Towne DDS2, LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1003290388
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011631A Issued in IN
Legal business name
JAMES TOWNE DDS2, LLC
Practice address
6249 S East St
Suite J
Indianapolis, IN 46227-2091
Phone
(317) 789-1000
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Allison Gardiner, DDS
Title
Member
Phone
(317) 353-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12011631A IN Primary

Addresses

Primary practice location

6249 S East St
Suite J
Indianapolis, IN 46227-2091

Mailing address

6249 S East St
Suite J
Indianapolis, IN 46227-2091
Phone (317) 789-1000

Other identifiers 1

IdentifierTypeStateIssuer
201026900MedicaidIN

Other names 1

  • Jamestowne Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6249 S East St
Ste J
Indianapolis, IN 46227
Phone (317) 789-1000

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1003290388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-789-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-789-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES TOWNE DDS2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-353-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201026900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestowne Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.