Organization Active NPI

Indy East Dental LLC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1154057461
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INDY EAST DENTAL LLC
Practice address
973 N Shadeland Ave
Indianapolis, IN 46219-4809
Phone
(317) 525-7398
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Ankit PatelNPI 1770994238
Title
Ceo
Phone
(317) 525-7398

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

973 N Shadeland Ave
Indianapolis, IN 46219-4809

Mailing address

360 E Market St Apt 2002
Indianapolis, IN 46204-2961
Phone (317) 525-7398

Other names 1

  • 24/7 Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 247dental.com

National Provider Directory

National Provider Directory

Locations

973 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 525-7398

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": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1154057461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E MARKET ST APT 2002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042961",
            "telephone_number": "317-525-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194809",
            "telephone_number": "317-525-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY EAST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-525-7398"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "247dental.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "973 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "24/7 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.