Organization Active NPI

East Indy Dental Care, LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1366742371
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011298A Issued in IN
Legal business name
EAST INDY DENTAL CARE, LLC
Practice address
5607 E. Washington St.
Indianapolis, IN 46219
Phone
(317) 375-2273
Fax
(317) 375-2272
NPI assigned
Oct 25, 2010
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Sarah Michele Leclere, DDSNPI 1972943223
Title
Dentist/Owner
Phone
(260) 494-9435

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
General Practice Dentistry 1223G0001X 12011298A IN Primary

Addresses

Primary practice location

5607 E. Washington St.
Indianapolis, IN 46219

Mailing address

5607 E. Washington St.
Indianapolis, IN 46219
Phone (317) 375-2273

National Provider Directory

National Provider Directory

Locations

5607 E Washington St
Indianapolis, IN 46219
Phone (317) 375-2273

6433 E Washington St
Ste 105
Indianapolis, IN 46219

Practitioners & affiliated clinicians

Practitioners 2

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1366742371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 E. WASHINGTON ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-375-2273",
            "fax_number": "317-375-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 E. WASHINGTON ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-375-2273",
            "fax_number": "317-375-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST INDY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "LECLERE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "260-494-9435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011298A",
            "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 Jan 11, 2023; 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.