Organization Active NPI

Avon Dental Centre

  • Dentist
  • Avon, IN
National Provider Identifier
1295912087
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12019458 Issued in IN
Legal business name
AVON DENTAL CENTRE
Practice address
7517 Beechwood Centre Rd
Suite 100
Avon, IN 46123-7852
Phone
(317) 272-8100
Fax
(317) 272-0276
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Larry A CaskeyNPI 1285770834
Title
Owner
Phone
(317) 272-8100

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12019458 IN Primary

Addresses

Primary practice location

7517 Beechwood Centre Rd
Suite 100
Avon, IN 46123-7852

Mailing address

7517 Beechwood Centre Rd
Suite 100
Avon, IN 46123-7852
Phone (317) 272-8100

National Provider Directory

National Provider Directory

Locations

7517 Beechwood Centre Rd
Ste 100
Avon, IN 46123
Phone (317) 272-8100

Practitioners & affiliated clinicians

Practitioners 3

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": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1295912087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 BEECHWOOD CENTRE RD",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237852",
            "telephone_number": "317-272-8100",
            "fax_number": "317-272-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 BEECHWOOD CENTRE RD",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237852",
            "telephone_number": "317-272-8100",
            "fax_number": "317-272-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON DENTAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-272-8100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12019458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.