Organization Active NPI

Carmel Family Dental LLC

  • Dental Clinic/Center
  • Carmel, IN
National Provider Identifier
1104665330
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CARMEL FAMILY DENTAL LLC
Practice address
3021 E 98TH St Ste 240
Carmel, IN 46280-1964
Phone
(317) 395-2419
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Opal Anderson
Title
Manager
Phone
(317) 395-2419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3021 E 98TH St Ste 240
Carmel, IN 46280-1964

Mailing address

33300 Warren Rd Ste 29
Westland, MI 48185-9627
Phone (317) 401-6216

National Provider Directory

National Provider Directory

Locations

3021 E 98th St
Ste 240
Carmel, IN 46280
Phone (317) 395-2419

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1104665330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 WARREN RD STE 29",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481859627",
            "telephone_number": "317-401-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 E 98TH ST STE 240",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462801964",
            "telephone_number": "317-395-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-395-2419"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "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 Sep 13, 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.