Organization Active NPI

Dentsmart

  • General Practice Dentistry
  • Greenwood, IN
National Provider Identifier
1205004397
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010607A Issued in IN
Legal business name
DENTSMART
Practice address
622 N Madison Ave
Suite #10
Greenwood, IN 46142-4082
Phone
(317) 888-9240
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Shawn Cabbell, DDS
Title
Ceo
Phone
(317) 888-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010607A IN Primary

Addresses

Primary practice location

622 N Madison Ave
Suite #10
Greenwood, IN 46142-4082

Mailing address

622 N Madison Ave
Suite #10
Greenwood, IN 46142-4082
Phone (317) 888-9240

National Provider Directory

National Provider Directory

Locations

622 N Madison Ave
Ste 10
Greenwood, IN 46142
Phone (317) 888-9240

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1205004397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE",
            "address_2": "SUITE #10",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424082",
            "telephone_number": "317-888-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE",
            "address_2": "SUITE #10",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424082",
            "telephone_number": "317-888-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTSMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "CABBELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-888-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

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