Children'S Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12010350A Issued in IN

Legal business name

CHILDREN'S DENTAL CENTER

Practice address

9885 E 116TH St
Ste 100
Fishers, IN 46037-9241

Phone

(317) 842-8453

Fax

(317) 842-8741

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle H Edwards, DDS

Title

Dentist

Phone

(317) 842-8453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kynnedy Monet Kelly, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fishers, IN
  • NPI 1427932706
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1306389267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 E 116TH ST",
            "address_2": "STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379241",
            "telephone_number": "317-842-8453",
            "fax_number": "317-842-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 E 116TH ST",
            "address_2": "STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379241",
            "telephone_number": "317-842-8453",
            "fax_number": "317-842-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-842-8453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Will Charnstrom
• Ashley Cheeks
• Amel Chekkoufi
• Payton Chelmella, OTD, OTR/L
• Karen L Cheney, SPEECH PATHOLOGIST
• Chiro One Wellness Center of Fishers LLC
• Jack Chitenje
• Carly Rose Choate
• Aarthi Chockalingam
• Choice Medical Supply Inc.

• Dental Clinic/Center in Fishers, IN
• Providers in Fishers, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.