Gary L. Bacon D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GARY L. BACON D.D.S., P.C.

Practice address

9670 E Washington St Ste 220
Indianapolis, IN 46229-3032

Phone

(317) 897-1147

Fax

(317) 897-1286

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Bacon, DDS

Title

Owner

Phone

(317) 897-1147

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brooklyn D Thomas, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1093647190
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1023263845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 E WASHINGTON ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293032",
            "telephone_number": "317-897-1147",
            "fax_number": "317-897-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 E WASHINGTON ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293032",
            "telephone_number": "317-897-1147",
            "fax_number": "317-897-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. BACON D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-897-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Garverick II, MD
• Jean Garvey, P.A.
• Leah Ann Garvin, MD
• Kristine Marie Garwood, PTA
• Gary L Llewellyn DDS LLC
• Gary S Glenn OD PC (Indy Eyes)
• Dayonna Gary
• Kelli Gary, LCSW
• Paulette Gary
• Laura Ann Garza, RPH

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.