NPIMap

Organization Active NPI

Eric L Treadwell Inc

Doing business as Epler Parke Dentistry

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1255719605
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIC L TREADWELL INC
Doing business as
Epler Parke Dentistry
Practice address
5510 S East St Ste a
Indianapolis, IN 46227-1939
Phone
(317) 786-1733
Fax
(317) 786-8367
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Eric L Treadwell, DDSNPI 1669404331
Title
Owner
Phone
(317) 786-1733

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5510 S East St Ste a
Indianapolis, IN 46227-1939

Mailing address

5510 S East St Ste a
Indianapolis, IN 46227-1939
Phone (317) 786-1733

Other identifiers 1

IdentifierTypeStateIssuer
200217510MedicaidIN

Other names 1

  • Epler Parke Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5510 S East St
Ste A
Indianapolis, IN 46227
Phone (317) 786-1733

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1255719605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 S EAST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271939",
            "telephone_number": "317-786-1733",
            "fax_number": "317-786-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S EAST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271939",
            "telephone_number": "317-786-1733",
            "fax_number": "317-786-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC L TREADWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-786-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200217510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epler Parke 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 May 18, 2015; 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.