Indiana Center for Surgical Arts

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

INDIANA CENTER FOR SURGICAL ARTS

Practice address

6117 N College Ave
Suite 4
Indianapolis, IN 46220-2233

Phone

(317) 257-5442

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Montes, DDS

Title

Sole Proprietor

Phone

(317) 257-5442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1144676123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 N COLLEGE AVE",
            "address_2": "SUITE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202233",
            "telephone_number": "317-257-5442",
            "fax_number": "317-203-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 N COLLEGE AVE",
            "address_2": "SUITE 4",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202233",
            "telephone_number": "317-257-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CENTER FOR SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-257-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Center for Advanced Medicine (Indiana Health and Medical Center)
• Indiana Center for Foot and Ankle Care, PC
• Indiana Center for Health and Nutrition
• Indiana Center for Prenatal Diagnosis, PC
• Indiana Center for Recovery Indianapolis
• Indiana Children's Foot and Ankle Center LLC
• Indiana Chronic Pain & Stress Management Center, Inc.
• Indiana Clinic
• Indiana Clinic
• Indiana Clinic

• Oral and Maxillofacial Surgery (Dentist) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.