Noblesville Dental Associates LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12008106A Issued in IN

Legal business name

NOBLESVILLE DENTAL ASSOCIATES LLC

Practice address

17567 River Ave.
Noblesville, IN 46062

Phone

(317) 773-2983

Fax

(317) 773-2762

NPI assigned

Nov 2, 2017

Organization subpart

Yes

Parent organization

NOBLESVILLE DENTAL ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Wayne T. Kinney, DDS

Title

Owner

Phone

(317) 575-1120

Specialties & licenses 2

Addresses

Part of

Noblesville Dental Associates LLC

Locations

Practitioners 3

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

• Nicole Beeler, D.D.S.

  • Dentist
  • Noblesville, IN
  • NPI 1184029266
  NPD (past)
• Valerie M Eibling

  • Dentist
  • Indianapolis, IN
  • NPI 1902464357
  NPD (past)
• Nicholas Kitcoff, DDS

  • General Practice Dentistry
  • Noblesville, IN
  • NPI 1740842954
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1346752011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17567 RIVER AVE.",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46062",
            "telephone_number": "317-773-2983",
            "fax_number": "317-773-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 RIVER AVE.",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46062",
            "telephone_number": "317-773-2983",
            "fax_number": "317-773-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLESVILLE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLESVILLE DENTAL ASSOCIATES LLC",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-575-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008106A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012314A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Niezer, CCC-SLP
• Patricia D Nikolov, PMHNP
• Noble Creek Family Denitstry LLC
• Noble Eyes, P.C.
• Noblesville Assisted Living Group, LLC
• Noblesville Dental Clinic, Inc.
• Noblesville Family Chiropractic, LTD
• Noblesville Family Dentistry
• Noblesville Low Cost Pharmacy
• Noblesville Oral & Maxillofacial Surgery, Professional Corporation

• Dentist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.