Organization Active NPI

West Clay Orthodontics, LLC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmel, IN
National Provider Identifier
1063001857
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WEST CLAY ORTHODONTICS, LLC.
Practice address
2149 Glebe St Ste 120
Carmel, IN 46032-7294
Phone
(317) 795-1829
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Dr. Julian E Davila, DMDNPI 1700968435
Title
Orthodontist
Phone
(317) 507-9820

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

2149 Glebe St Ste 120
Carmel, IN 46032-7294

Mailing address

2149 Glebe St Ste 120
Carmel, IN 46032-7294
Phone (317) 795-1829

National Provider Directory

National Provider Directory

Locations

2149 Glebe St
Ste 120
Carmel, IN 46032
Phone (317) 795-1829

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1063001857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 GLEBE ST STE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327294",
            "telephone_number": "317-795-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 GLEBE ST STE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327294",
            "telephone_number": "317-795-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CLAY ORTHODONTICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "317-507-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.