Philip Bruce Lockhart Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008708A Issued in IN

Practice address

8202 Clearvista Pkwy
BLDG 4 Suite C
Indianapolis, IN 46256-1430

Phone

(317) 849-9715

Fax

(317) 849-9833

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265547855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY",
            "address_2": "BLDG 4 SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561430",
            "telephone_number": "317-849-9715",
            "fax_number": "317-849-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY",
            "address_2": "BLDG 4 SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561430",
            "telephone_number": "317-849-9715",
            "fax_number": "317-849-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "PHILIP",
        "middle_name": "BRUCE",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008708A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie L. Locker-Parks, OTR
• Brenna Nicole Lockett
• Jamaurie Davon Lockett
• Joi Lockhart, RBT
• Lauren E Lockhart, MS, OTR
• Emily Locklear, RBT
• Jennifer Ann Lockliear, PA-C
• Rockeya Lynn Lockridge, CNA
• Tate Lockwood
• Samuel Ayite Locoh-Donou, M.D., M.P.H

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.