NPIMap

Organization Active NPI

Sara P. Viernes DDS PC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1356509731
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011023A Issued in IN
Legal business name
SARA P. VIERNES DDS PC
Practice address
6820 Parkdale Place
Suite 117
Indianapolis, IN 46254-4699
Phone
(317) 329-7373
Fax
(317) 329-7380
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Sara P Viernes, DDSNPI 1619925955
Title
Owner
Phone
(317) 329-7373

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011023A IN Primary
General Practice Dentistry 1223G0001X 12010470A IN

Addresses

Primary practice location

6820 Parkdale Place
Suite 117
Indianapolis, IN 46254-4699

Mailing address

6820 Parkdale Place
Suite 117
Indianapolis, IN 46254-4699
Phone (317) 329-7373

Other identifiers 4

IdentifierTypeStateIssuer
200381910MedicaidIN
200869240MedicaidIN
1174715510OtherININDIVIDUAL NPI
1619925955OtherININDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

6820 Parkdale Pl
Ste 117
Indianapolis, IN 46254
Phone (317) 329-7373

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1356509731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PLACE",
            "address_2": "SUITE 117",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544699",
            "telephone_number": "317-329-7373",
            "fax_number": "317-329-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PLACE",
            "address_2": "SUITE 117",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544699",
            "telephone_number": "317-329-7373",
            "fax_number": "317-329-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA P. VIERNES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "VIERNES",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-329-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011023A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010470A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200869240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174715510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619925955",
            "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 Jun 2, 2008; 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.