Professional Dental Services of Indiana PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROFESSIONAL DENTAL SERVICES OF INDIANA PC

Practice address

4960 S Emerson Ave
Indianapolis, IN 46203-5937

Phone

(317) 886-1578

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Donald Swoverland, DDS

Title

Dentist/Owner

Phone

(913) 355-1121

Specialties & licenses 1

Addresses

Other names 1

• Bright Tiger Dental Doing business as

Locations

Practitioners 1

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

• Kaleb Daniel Davis, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1750948246
  NPD (past)

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1023638293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 MISSION RD STE 240",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062427",
            "telephone_number": "913-355-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035937",
            "telephone_number": "317-886-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8845 Boehning Ln",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462191974",
            "country_code": "US",
            "telephone_number": "317-620-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 US 31 S Ste D",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462278619",
            "country_code": "US",
            "telephone_number": "317-886-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5457 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542917",
            "country_code": "US",
            "telephone_number": "317-934-3479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8906 Rockville Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342732",
            "country_code": "US",
            "telephone_number": "317-934-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "532 E 81st Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105599",
            "country_code": "US",
            "telephone_number": "219-249-5969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 US Highway 41 Ste A",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751798",
            "country_code": "US",
            "telephone_number": "219-491-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 New Albany Plz",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504654",
            "country_code": "US",
            "telephone_number": "812-250-4535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 E Lewis and Clark Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471297735",
            "country_code": "US",
            "telephone_number": "812-546-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2128 Mounds Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460165713",
            "country_code": "US",
            "telephone_number": "765-678-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 E 82nd St # 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462501500",
            "country_code": "US",
            "telephone_number": "317-449-7468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3269 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462683823",
            "country_code": "US",
            "telephone_number": "317-480-4308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL SERVICES OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SWOVERLAND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "913-355-1121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Tiger Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 17, 2020; 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.