Organization Active NPI

Advanced Endocare

  • Endodontics
  • Carmel, IN
National Provider Identifier
1174625222
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12008500 Issued in IN
Legal business name
ADVANCED ENDOCARE
Practice address
13590 B North Meridian St
Suite 104
Carmel, IN 46032
Phone
(317) 848-7778
Fax
(317) 571-8368
NPI assigned
Sep 1, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Kathryn Godwin Stuart, DDS, MSDNPI 1811080930
Title
Owner/President of Advanced Endocar
Phone
(317) 848-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 12008500 IN Primary

Addresses

Primary practice location

13590 B North Meridian St
Suite 104
Carmel, IN 46032

Mailing address

13590 B North Meridian St
Suite 104
Carmel, IN 46032
Phone (317) 848-7778

National Provider Directory

National Provider Directory

Locations

13590B N Meridian St
Ste 104
Carmel, IN 46032
Phone (317) 848-7778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1174625222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 B NORTH MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-848-7778",
            "fax_number": "317-571-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 B NORTH MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-848-7778",
            "fax_number": "317-571-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "GODWIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT OF ADVANCED ENDOCAR",
        "authorized_official_telephone_number": "317-848-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12008500",
            "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 Aug 15, 2008; 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.