Organization Active NPI

On-Site Dental Care, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1275630485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.