Castleton General & Implant Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011157A Issued in IN

Legal business name

CASTLETON GENERAL & IMPLANT DENTISTRY PC

Practice address

6535 E 82ND St
Suite 211
Indianapolis, IN 46250-4524

Phone

(317) 849-3597

Fax

(317) 913-0641

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lucas B Marrs, DDSNPI 1871755819

Title

Owner

Phone

(317) 849-3597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Lucas Benjamin Marrs, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1871755819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1013166941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 E 82ND ST",
            "address_2": "SUITE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504524",
            "telephone_number": "317-849-3597",
            "fax_number": "317-913-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 E 82ND ST",
            "address_2": "SUITE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504524",
            "telephone_number": "317-849-3597",
            "fax_number": "317-913-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLETON GENERAL & IMPLANT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MARRS",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-849-3597",
        "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": "12011157A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gail Castle, M.A.
• Michaela Castleman, DO
• Joseph Paul Castlen, MD
• Castleton Chiropractic Clinic Inc
• Castleton Eyecare Inc
• Castleton Integrative Health Inc
• Castleton Surgical Group, P.C.
• Castleton United Methodist Church, Inc.
• Castleton Volunteer Fire Dept, Inc.
• Thomas Michael Castline, PA-C

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.