Active NPI
On-Site Dental Care, Inc.
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1275630485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ON-SITE DENTAL CARE, INC.
- Practice address
- 5729 W 85TH St
Indianapolis, IN 46278-1330 - Phone
- (317) 337-0414
- Fax
- (317) 337-0423
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Thomas Thornton
- Title
- Executive Director
- Phone
- (317) 337-0414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5729 W 85TH St
Indianapolis, IN 46278-1330
Mailing address
5729 W 85TH St
Indianapolis, IN 46278-1330
Phone (317) 337-0414
National Provider Directory
National Provider DirectoryLocations
5729 W 85th St
Indianapolis, IN 46278
Phone (317) 337-0414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1497979777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275630485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 W 85TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781330",
"telephone_number": "317-337-0414",
"fax_number": "317-337-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5729 W 85TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781330",
"telephone_number": "317-337-0414",
"fax_number": "317-337-0423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON-SITE DENTAL CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "317-337-0414",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.