NPIMap

Organization Active NPI

Alderman Oral & Maxillofacial Surgery, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Carmel, IN
National Provider Identifier
1215280896
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
120116031 Issued in IN
Legal business name
ALDERMAN ORAL & MAXILLOFACIAL SURGERY, INC
Practice address
14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000
Phone
(317) 569-0033
Fax
(317) 569-0540
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Robert Alderman
Title
President
Phone
(317) 569-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 120116031 IN Primary

Addresses

Primary practice location

14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000

Mailing address

14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000
Phone (317) 560-0033

National Provider Directory

National Provider Directory

Locations

14555B Hazel Dell Pkwy
Ste 140
Carmel, IN 46033
Phone (317) 569-0033

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1215280896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY # B",
            "address_2": "SUITE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-560-0033",
            "fax_number": "317-569-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY # B",
            "address_2": "SUITE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-569-0033",
            "fax_number": "317-569-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERMAN ORAL & MAXILLOFACIAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-569-0033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "120116031",
            "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 Oct 19, 2012; 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.