NPIMap

Organization Active NPI

Red Hat Neighborhood Dentist

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1356813935
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RED HAT NEIGHBORHOOD DENTIST
Practice address
5719 Lawton Loop East Dr Ste 2
Indianapolis, IN 46216-2322
Phone
(317) 847-9455
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Dr. Andrew David Power, DDSNPI 1851875546
Title
Owner
Phone
(317) 847-9455

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5719 Lawton Loop East Dr Ste 2
Indianapolis, IN 46216-2322

Mailing address

5869 Lawton Loop East Dr
Indianapolis, IN 46216-1064
Phone (317) 847-9455

National Provider Directory

National Provider Directory

Locations

5719 Lawton Loop East Dr
Ste 2
Indianapolis, IN 46216
Phone (317) 847-9455

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": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1356813935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5869 LAWTON LOOP EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161064",
            "telephone_number": "317-847-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5719 LAWTON LOOP EAST DR STE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162322",
            "telephone_number": "317-847-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HAT NEIGHBORHOOD DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-847-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 20, 2018; 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.