NPIMap

Organization Active NPI

Dr.Andrey M Horton DDS,PC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1346625159
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010302A Issued in IN
Legal business name
DR.ANDREY M HORTON DDS,PC
Practice address
6434 N College Ave
Ste a
Indianapolis, IN 46220-6602
Phone
(317) 251-3104
Fax
(317) 251-0120
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Andrey M Horton, DDSNPI 1134284508
Title
Owner
Phone
(317) 251-3104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12010302A IN Primary

Addresses

Primary practice location

6434 N College Ave
Ste a
Indianapolis, IN 46220-6602

Mailing address

6434 N College Ave
Ste a
Indianapolis, IN 46220-6602
Phone (317) 251-3104

Other identifiers 1

IdentifierTypeStateIssuer
1134284508MedicaidIN

National Provider Directory

National Provider Directory

Locations

6434 N College Ave
Ste A
Indianapolis, IN 46220
Phone (317) 251-3104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1346625159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 N COLLEGE AVE",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206602",
            "telephone_number": "317-251-3104",
            "fax_number": "317-251-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 N COLLEGE AVE",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206602",
            "telephone_number": "317-251-3104",
            "fax_number": "317-251-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ANDREY M HORTON DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-251-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010302A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134284508",
            "state": "IN"
        }
    ],
    "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 Jul 22, 2015; 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.