Organization Active NPI

Brownsburg Dental Group PC

  • Dentist
  • Brownsburg, IN
National Provider Identifier
1316051600
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010164A Issued in IN
Legal business name
BROWNSBURG DENTAL GROUP PC
Practice address
20 E Airport Rd
Suite 1100
Brownsburg, IN 46112-2046
Phone
(317) 852-1446
Fax
(317) 852-1449
NPI assigned
Aug 17, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Gary Friedman, DDSNPI 1437348752
Title
Owner President
Phone
(317) 852-1446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009280 IN
Dentist 122300000X 12010164A IN Primary

Addresses

Primary practice location

20 E Airport Rd
Suite 1100
Brownsburg, IN 46112-2046

Mailing address

20 E Airport Rd
Suite 1100
Brownsburg, IN 46112-2046
Phone (317) 852-1446

National Provider Directory

National Provider Directory

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1316051600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E AIRPORT RD",
            "address_2": "SUITE 1100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122046",
            "telephone_number": "317-852-1446",
            "fax_number": "317-852-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E AIRPORT RD",
            "address_2": "SUITE 1100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122046",
            "telephone_number": "317-852-1446",
            "fax_number": "317-852-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSBURG DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "317-852-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009280",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010164A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.