Plainfield Park Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PLAINFIELD PARK PEDIATRIC DENTISTRY

Practice address

6100 Clarks Creek Rd Ste 102
Plainfield, IN 46168-8767

Phone

(317) 900-1665

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Lesa Allison, DDS, MSDNPI 1720342876

Title

Owner

Phone

(317) 900-1665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lesa M Allison, D.D.S.

  • Dentist
  • Indianapolis, IN
  • NPI 1720342876
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1366291056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CLARKS CREEK RD STE 102",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688767",
            "telephone_number": "317-900-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CLARKS CREEK RD STE 102",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688767",
            "telephone_number": "317-900-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD PARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-900-1665",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plainfield Dental, LLC
• Plainfield Eye Care PC
• Plainfield Family Dental Inc
• Plainfield Oral & Maxillofacial Surgery
• Plainfield Orthodontics, P.C.
• Plainfield Vision Care LLC
• Patricia R Poindexter, CNS
• Alyssa Pointer, BCBA
• Mackenzi Ashtyn Potts, MA
• Jalyn Powell, RBT

• Pediatric Dentistry in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.