NPIMap

Organization Active NPI

JKL Dental

Doing business as Noble Smiles Dentistry

  • Dental Clinic/Center
  • Noblesville, IN
National Provider Identifier
1245760008
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JKL DENTAL
Doing business as
Noble Smiles Dentistry
Practice address
9779 E 146TH St Ste 100
Noblesville, IN 46060-4327
Phone
(317) 219-3099
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Jong-Raye Liang, DDSNPI 1780963264
Title
Owner
Phone
(734) 657-3948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9779 E 146TH St Ste 100
Noblesville, IN 46060-4327

Mailing address

2597 Millgate CT
Carmel, IN 46033-2207
Phone (734) 657-3948

Other names 1

  • Noble Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9779 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 219-3099

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": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1245760008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 MILLGATE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460332207",
            "telephone_number": "734-657-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9779 E 146TH ST STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604327",
            "telephone_number": "317-219-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "JONG-RAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-657-3948",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.