Organization Active NPI

Dental Sleep Medicine of Indiana Corporation

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1295060358
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL SLEEP MEDICINE OF INDIANA CORPORATION
Practice address
5625 Castle Creek Parkway North Dr
Indianapolis, IN 46250-4304
Phone
(317) 585-0008
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. Harold Allen Smith, D.D.S.
Title
President
Phone
(317) 253-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5625 Castle Creek Parkway North Dr
Indianapolis, IN 46250-4304

Mailing address

5625 Castle Creek Parkway North Dr
Indianapolis, IN 46250-4304
Phone (317) 585-0008

Other names 1

  • Dental Sleep Medicine of Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058429 IN DME Supplier - Oral Surgery - Dentist 1557498052 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1295060358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 CASTLE CREEK PARKWAY NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504304",
            "telephone_number": "317-585-0008",
            "fax_number": "317-585-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 CASTLE CREEK PARKWAY NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504304",
            "telephone_number": "317-585-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE OF INDIANA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-253-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Sleep Medicine of Indiana",
            "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 Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.