Hoosier Pediatric Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010878A Issued in IN

Legal business name

HOOSIER PEDIATRIC DENTAL GROUP

Practice address

306 S Baldwin Ave
Marion, IN 46952-3528

Phone

(765) 201-0313

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ajay P Joshi, DDS, MSD

Title

Pediatric Dentist/Owner

Phone

(317) 213-7454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1053711606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 BEAVER CREEK LN",
            "address_2": "SUITE 3312",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376532",
            "telephone_number": "765-201-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523528",
            "telephone_number": "765-201-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "317-213-7454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010878A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Homrich
• Lexi Honeycutt, RBT-24-355663
• Shayleigh Honeycutt
• Hook-Superx LLC
• Hook-Superx LLC
• Danielle Brooke Hoover, MS, RD, LD
• Jack Lewis Hoover, DDS
• Stephanie Hornbuckle
• Curt Horrigan
• Lesa Lynn Hostetler, RN

• Pediatric Dentistry in Marion, IN
• Providers in Marion, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.