Mike M. H. Deldar,D.D.S.,PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12009956A Issued in IN

Legal business name

MIKE M. H. DELDAR,D.D.S.,PC

Doing business as

Advanced Dentistry & TMJ

Practice address

14753 Hazel Dell Xing
Suite 700
Noblesville, IN 46062-7025

Phone

(317) 208-0000

Fax

(317) 208-4704

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mike Hashem Deldar, D.D.S

Title

Owner

Phone

(317) 208-0000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Dentistry & TMJ Doing business as

Practitioners 2

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.

• Mohammad H Deldar, D.D.S.

  • Dentist
  • Noblesville, IN
  • NPI 1801844204
  NPD (past)
• John Graham Kay, DDS

  • Dentist
  • Noblesville, IN
  • NPI 1760314686
  NPD (past)

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1326342841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14753 HAZEL DELL XING",
            "address_2": "SUITE 700",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627025",
            "telephone_number": "317-208-0000",
            "fax_number": "317-208-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14753 HAZEL DELL XING",
            "address_2": "SUITE 700",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627025",
            "telephone_number": "317-208-0000",
            "fax_number": "317-208-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE M. H. DELDAR,D.D.S.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "DELDAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "HASHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-208-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009956A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "12009956A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204900B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry & TMJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corrine Miller, PA-C
• Jalyn Corin Miller
• Jared A Miller, MD

• Durable Medical Equipment & Medical Supplies in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.