NPIMap

Organization Active NPI

Alpha Denture Center, Inc.

  • Prosthodontics
  • Indianapolis, IN
National Provider Identifier
1396718185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
#6629A Issued in IN
Legal business name
ALPHA DENTURE CENTER, INC.
Practice address
6845 Parkdale PL
Suite a
Indianapolis, IN 46254-5618
Phone
(317) 280-1211
NPI assigned
Feb 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul A. Pangallo, D.D.S.
Title
Dentist
Phone
(317) 280-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X #6629A IN Primary

Addresses

Primary practice location

6845 Parkdale PL
Suite a
Indianapolis, IN 46254-5618

Mailing address

6845 Parkdale PL
Suite a
Indianapolis, IN 46254-5618
Phone (317) 280-1211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396718185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 PARKDALE PL",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545618",
            "telephone_number": "317-280-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 PARKDALE PL",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545618",
            "telephone_number": "317-280-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTURE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANGALLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-280-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "#6629A",
            "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 Aug 22, 2020; 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.