Mitthoeffer Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MITTHOEFFER FAMILY DENTAL, LLC

Practice address

2236 N Mitthoeffer Rd
Indianapolis, IN 46229-1797

Phone

(317) 897-5093

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Lana Hurley

Title

Practice Director

Phone

(317) 926-5467

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Michael Min Chu, DMD

  • Dentist
  • Indianapolis, IN
  • NPI 1508594003
  NPD (past)
• Richard Allen Coffman, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1700881588
  NPD (past)
• Nicholas J Daily, DMD

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1497315675
  NPD (past)
• Lauren Hedges

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1336879212
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1154879856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 N MITTHOEFFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462291797",
            "telephone_number": "317-897-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 N MITTHOEFFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462291797",
            "telephone_number": "317-897-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTHOEFFER FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "317-926-5467"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kaye Mitscher, NP
• Karen Lee Mitseff-Medlen
• Anisha Mittal, MD
• Varun Mittal, MD
• Danica D. Mitten, PNP
• Mixon Adversity With Success LLC
• Dametrea Mixon
• Satoshi Miyahara
• Alexandra Miyamoto
• Richard Christopher Miyamoto, MD

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.