Organization Active NPI

Comdent, PC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1295128213
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009719 Issued in IN
Legal business name
COMDENT, PC
Practice address
4200 S East St
Suite a-14
Indianapolis, IN 46227-1534
Phone
(317) 783-9993
Fax
(317) 783-9999
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Stephen Scott Hall, D.D.S.NPI 1942258462
Title
Owner/President of Comdent, PC
Phone
(317) 783-9993

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 Dentistry 1223G0001X 12009719 IN Primary

Addresses

Primary practice location

4200 S East St
Suite a-14
Indianapolis, IN 46227-1534

Mailing address

4200 S East St
Suite a-14
Indianapolis, IN 46227-1534
Phone (317) 783-9993

Other identifiers 1

IdentifierTypeStateIssuer
200202580AMedicaidIN

National Provider Directory

National Provider Directory

Locations

4200 S East St
Ste A14
Indianapolis, IN 46227
Phone (317) 783-9993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1295128213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S EAST ST",
            "address_2": "SUITE A-14",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271534",
            "telephone_number": "317-783-9993",
            "fax_number": "317-783-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S EAST ST",
            "address_2": "SUITE A-14",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271534",
            "telephone_number": "317-783-9993",
            "fax_number": "317-783-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMDENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT OF COMDENT, PC",
        "authorized_official_telephone_number": "317-783-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200202580A",
            "state": "IN"
        }
    ],
    "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 Mar 16, 2015; 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.