Active NPI
Danville Downtown Dentistry LLC
- General Practice Dentistry
- Danville, IN
National Provider Identifier
1053912121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DANVILLE DOWNTOWN DENTISTRY LLC
- Practice address
- 94 S Tennessee St
Danville, IN 46122-1836 - Phone
- (317) 745-1400
- NPI assigned
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent J Barta, DDS
- Title
- Owner
- Phone
- (317) 679-8506
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
94 S Tennessee St
Danville, IN 46122-1836
Mailing address
6443 W 10TH St Ste 204
Indianapolis, IN 46214-6502
Phone (317) 247-9512
National Provider Directory
National Provider DirectoryLocations
94 S Tennessee St
Danville, IN 46122
Phone (317) 745-1400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Indianapolis, IN
- NPI 1821194093
-
- Dentist
- Indianapolis, IN
- NPI 1285770834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1053912121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6443 W 10TH ST STE 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462146502",
"telephone_number": "317-247-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 S TENNESSEE ST",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461221836",
"telephone_number": "317-745-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANVILLE DOWNTOWN DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "BARTA",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-679-8506",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.