Emhardt Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12012171A Issued in IN

Legal business name

EMHARDT PEDIATRIC DENTISTRY LLC

Practice address

1818 N Riley Hwy Ste B
Shelbyville, IN 46176-8572

Phone

(317) 507-3439

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Ray Emhardt, DDS, MSD

Title

Pediatric Dentist/Owner

Phone

(317) 507-3439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1316463607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S EAST ST APT 309",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N RILEY HWY STE B",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768572",
            "telephone_number": "317-507-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMHARDT PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "EMHARDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "317-507-3439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12012171A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Duran, DC
• Evan Ray Eckart, MD
• Brian Gerald Elliott, DPM
• Emily Ellis, PHARMD
• Ashli Brooke Elrod, MD
• ER Counseling LLC
• Emily Adah Espich
• Gregory J Esslinger, DO
• Marilee Evans, BS, RN
• Shoshanna Everhart, MSW

• Pediatric Dentistry in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.