Affordable Dentures & Implants - Speedway III, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - SPEEDWAY III, P.C.

Practice address

5945 Crawfordsville Rd Ste J
Speedway, IN 46224-3721

Phone

(317) 243-2152

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Karina Shirley, DDS

Title

Owner

Phone

(317) 243-2152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1124638200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 CRAWFORDSVILLE RD STE J",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243721",
            "telephone_number": "317-243-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 CRAWFORDSVILLE RD STE J",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243721",
            "telephone_number": "317-243-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - SPEEDWAY III, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-243-2152",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.