Organization Active NPI

Smile Time Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fishers, IN
National Provider Identifier
1396568994
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE TIME ORTHODONTICS, LLC
Doing business as
Smile Time Orthodontics, LLC
Practice address
9885 E 116TH St Ste 300
Fishers, IN 46037-9242
Phone
(317) 348-4900
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Ashley Watkins, EFDA
Title
Director of Revenue Cycle
Phone
(317) 348-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

9885 E 116TH St Ste 300
Fishers, IN 46037-9242

Mailing address

9885 E 116TH St Ste 300
Fishers, IN 46037-9242
Phone (317) 348-4900

Other names 1

  • Smile Time Orthodontics, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1396568994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 E 116TH ST STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379242",
            "telephone_number": "317-348-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 E 116TH ST STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379242",
            "telephone_number": "317-348-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TIME ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "317-348-4900",
        "authorized_official_credential": "EFDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Time Orthodontics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.