Phyllis R Indianer DDS PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

012808 Issued in MI

Legal business name

PHYLLIS R INDIANER DDS PLC

Practice address

1423 Walton Blvd
Rochester Hills, MI 48309-1775

Phone

(248) 651-1555

Fax

(248) 651-0560

NPI assigned

Nov 1, 2010

Last updated

Nov 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis R Indianer, DDSNPI 1780687772

Title

Owner

Phone

(248) 651-1555

Specialties & licenses 1

Addresses

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.

• Phyllis Robin Indianer, DDS

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1780687772
  Authorized official Same address or phone

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1215237680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-651-1555",
            "fax_number": "248-651-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-651-1555",
            "fax_number": "248-651-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS R INDIANER DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "INDIANER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "012808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Pfeiffer, RN
• Pharmacare Pharmacy (Pharmacare Pharmacy LLC)
• Kristen Phillips, LPC, CAADC
• Nicole Lynne Phipps, D.C.
• Phronesis MD PLLC
• Physical Therapy Center
• Physiotherapy Associates Inc
• Anthony J Piazza, MA, LLP
• Sabita Pilla, PTA
• Morgan Pillard

• Dental Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.