Organization Active NPI

One Family Dental Warren, LLC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1013614940
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ONE FAMILY DENTAL WARREN, LLC
Practice address
1260 N Post Rd Ste a
Indianapolis, IN 46219-4250
Phone
(260) 750-0418
NPI assigned
Feb 10, 2023
Organization subpart
Yes
Parent organization
ONE FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mr. Sudhakar Santhana Krishnan
Title
Ceo
Phone
(260) 750-0418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1260 N Post Rd Ste a
Indianapolis, IN 46219-4250

Mailing address

10404 Antelope CT
Fort Wayne, IN 46804-4909
Phone (260) 750-0418

Other names 1

  • One Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
One Family Dental

Locations

1260 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (260) 750-0418

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1013614940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 ANTELOPE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044909",
            "telephone_number": "260-750-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194250",
            "telephone_number": "260-750-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE FAMILY DENTAL WARREN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE FAMILY DENTAL",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "SANTHANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-750-0418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Family 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 Feb 10, 2023; 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.