Organization Active NPI

Steele Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Indianapolis, IN
National Provider Identifier
1376837070
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12010792A Issued in IN
Legal business name
STEELE PEDIATRIC DENTISTRY LLC
Practice address
9602 E Washington St Ste C
Indianapolis, IN 46229-3060
Phone
(317) 899-5437
Fax
(317) 897-0771
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Dr. Jaime Lyn Steele, D.D.S.NPI 1558499608
Title
Pediatric Dentist
Phone
(317) 517-7620

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12010792A IN Primary

Addresses

Primary practice location

9602 E Washington St Ste C
Indianapolis, IN 46229-3060

Mailing address

9602 E Washington St Ste C
Indianapolis, IN 46229-3060
Phone (317) 899-5437

National Provider Directory

National Provider Directory

Locations

9602 E Washington St
Ste C
Indianapolis, IN 46229
Phone (317) 899-5437

Practitioners & affiliated clinicians

Practitioners 2

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": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1376837070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 E WASHINGTON ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293060",
            "telephone_number": "317-899-5437",
            "fax_number": "317-897-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 E WASHINGTON ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293060",
            "telephone_number": "317-899-5437",
            "fax_number": "317-897-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELE PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "317-517-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010792A",
            "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 Sep 28, 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.