NPIMap

Organization Active NPI

Dental Health Associates of Indiana

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1396095832
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF INDIANA
Practice address
61 E 96TH St
Indianapolis, IN 46240-1006
Phone
(317) 721-1552
Fax
(317) 663-8569
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Mrs. Jennifer Purvis
Title
Ar Manager
Phone
(317) 359-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

61 E 96TH St
Indianapolis, IN 46240-1006

Mailing address

61 E 96TH St
Indianapolis, IN 46240-1006
Phone (317) 721-1552

Other names 1

  • North Meridian Gentle Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Assoc of in13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

61 E 96th St
Indianapolis, IN 46240
Phone (317) 721-1552

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1396095832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401006",
            "telephone_number": "317-721-1552",
            "fax_number": "317-663-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401006",
            "telephone_number": "317-721-1552",
            "fax_number": "317-663-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "317-359-3888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Meridian Gentle Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2012; 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.