Organization Active NPI

Indianapolis Center for Implant and Cosmetic Dentistry PC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1184494098
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INDIANAPOLIS CENTER FOR IMPLANT AND COSMETIC DENTISTRY PC
Practice address
7218 US 31
Indianapolis, IN 46227-8539
Phone
(317) 882-0228
NPI assigned
Jan 3, 2024
Organization subpart
Yes
Parent organization
INDIANAPOLIS DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Ted Reese
Title
DDS
Phone
(317) 882-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7218 US 31
Indianapolis, IN 46227-8539

Mailing address

7218 US 31
Indianapolis, IN 46227-8539
Phone (317) 882-0228

Other names 1

  • Indianapolis Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Indianapolis Center for Implant and Cosmetic Dentistry PC

Locations

7218 US 31
Indianapolis, IN 46227
Phone (317) 882-0227

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1184494098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 US 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278539",
            "telephone_number": "317-882-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 US 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278539",
            "telephone_number": "317-882-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS CENTER FOR IMPLANT AND COSMETIC DENTISTRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANAPOLIS DENTISTRY",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "317-882-0228",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indianapolis Dentistry",
            "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 Jan 3, 2024; 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.