Indy Dental Group WF, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009479 Issued in IN

Legal business name

INDY DENTAL GROUP WF, INC.

Practice address

16407 Southpark Dr
Suite B
Westfield, IN 46074-8472

Phone

(317) 867-5400

Fax

(317) 867-5477

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth B Lewis, DDS

Title

Owner

Phone

(317) 867-5400

Specialties & licenses 1

Addresses

Other names 1

• INDY DENTAL GROUP WESTFIELD, LLC Former legal business name

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388534400000",
    "number": "1306998315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16407 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748472",
            "telephone_number": "317-867-5400",
            "fax_number": "317-867-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16407 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748472",
            "telephone_number": "317-867-5400",
            "fax_number": "317-867-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY DENTAL GROUP WF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-01-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-867-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDY DENTAL GROUP WESTFIELD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Indiana Re-Entry Integration
• Indiana Respiratory Services, LLC
• Indy Dental Group North Inc.
• Indy Dental Group Sleep, LLC
• Indy Dental Group Westfield
• Indy Eyes, LLC
• Alexandra Jane Ingall, PHARMD
• Christine Irwin
• Krista Irwin, PA
• Josue Izaguirre-Almendarez

• General Practice Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.