Active NPI
Kara Brothers, D.M.D, MSD
- Endodontics
- Indianapolis, IN
National Provider Identifier
1336678804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12013123A
- Practice address
- Central Indiana Endodontics 360 S Emerson Ave
Ste 600
Indianapolis, IN 46237 - Phone
- (317) 882-8300
- NPI assigned
- Jun 8, 2017
- Last updated
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12013123A | IN | Primary |
| General Practice Dentistry | 1223G0001X | 018002022 | IL |
Addresses
Primary practice location
Central Indiana Endodontics 360 S Emerson Ave
Ste 600
Indianapolis, IN 46237
Mailing address
1040 N Delaware Street
Apt 705
Indianapolis, IN 46202
Phone (317) 750-8209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013123A | IN | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Endodontics LLC | Endodontics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Brownsburg, IN
- NPI 1043081789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1336678804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 N DELAWARE STREET",
"address_2": "APT 705",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-750-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL INDIANA ENDODONTICS 360 S EMERSON AVE",
"address_2": "STE 600",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46237",
"telephone_number": "317-882-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "KARA",
"name_prefix": "Dr.",
"credential": "D.M.D, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IN",
"license": "12013123A",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "018002022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.