Active NPI
David Comstock
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenwood, IN
National Provider Identifier
1023746286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12013416A
- Practice address
- 1001 N State Road 135 Ste A1
Greenwood, IN 46142-1349 - Phone
- (317) 667-0348
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12013416A | IN | Primary |
Addresses
Primary practice location
1001 N State Road 135 Ste A1
Greenwood, IN 46142-1349
Mailing address
1001 N State Road 135 Ste A1
Greenwood, IN 46142-1349
Phone (317) 667-0348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013416A | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthodontic Experts of Indiana, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1001 N State Road 135
Ste A1
Greenwood, IN 46142
Phone (317) 667-0348
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenwood, IN
- NPI 1437962370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1023746286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N STATE ROAD 135 STE A1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421349",
"telephone_number": "317-667-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N STATE ROAD 135 STE A1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421349",
"telephone_number": "317-667-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IN",
"license": "12013416A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.