Organization Active NPI

Pike Family Dentistry

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1265690184
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009386 Issued in IN
Legal business name
PIKE FAMILY DENTISTRY
Practice address
5660 Eden Village Drive
Indianapolis, IN 46254-1294
Phone
(317) 297-9750
Fax
(317) 297-7169
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. David W Austin, DDSNPI 1306852322
Title
Owner
Phone
(317) 297-9750

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009386 IN Primary

Addresses

Primary practice location

5660 Eden Village Drive
Indianapolis, IN 46254-1294

Mailing address

5660 Eden Village Dr
Indianapolis, IN 46254-1294
Phone (317) 297-9750

National Provider Directory

National Provider Directory

Locations

5660 Eden Village Dr
Indianapolis, IN 46254
Phone (317) 297-9750

Practitioners & affiliated clinicians

Practitioners 3

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1265690184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 EDEN VILLAGE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541294",
            "telephone_number": "317-297-9750",
            "fax_number": "317-297-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 EDEN VILLAGE DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541294",
            "telephone_number": "317-297-9750",
            "fax_number": "317-297-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-297-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 28, 2008; 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.