Organization Active NPI

Lotus Dental Inc

  • Dentist
  • Mishawaka, IN
National Provider Identifier
1093547838
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOTUS DENTAL INC
Practice address
6502 Grape Rd Ste 882
Mishawaka, IN 46545-1102
Phone
(574) 345-0345
Fax
(574) 345-0344
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Hari Priya Anne, DDSNPI 1144696410
Title
Dentist - President
Phone
(574) 345-0345

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6502 Grape Rd Ste 882
Mishawaka, IN 46545-1102

Mailing address

6502 Grape Rd Ste 882
Mishawaka, IN 46545-1102
Phone (574) 345-0345

National Provider Directory

National Provider Directory

Locations

6502 Grape Rd
Ste 882
Mishawaka, IN 46545
Phone (574) 698-3719

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1093547838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 GRAPE RD STE 882",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451102",
            "telephone_number": "574-345-0345",
            "fax_number": "574-345-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 GRAPE RD STE 882",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451102",
            "telephone_number": "574-345-0345",
            "fax_number": "574-345-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "HARI PRIYA",
        "authorized_official_title_or_position": "DENTIST - PRESIDENT",
        "authorized_official_telephone_number": "574-345-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.