NPIMap

Organization Active NPI

Simply Dental of Fishers PC

  • Dentist
  • Fishers, IN
National Provider Identifier
1407199342
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009552A Issued in IN
Legal business name
SIMPLY DENTAL OF FISHERS PC
Practice address
11876 Olio Rd Ste 300
Fishers, IN 46037-9767
Phone
(317) 570-2777
Fax
(317) 570-2990
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
John Scott Clauss, DDS
Title
President
Phone
(317) 570-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009552A IN Primary

Addresses

Primary practice location

11876 Olio Rd Ste 300
Fishers, IN 46037-9767

Mailing address

11876 Olio Rd Ste 300
Fishers, IN 46037-9767
Phone (317) 570-2777

National Provider Directory

National Provider Directory

Locations

11876 Olio Rd
Ste 300
Fishers, IN 46037
Phone (317) 570-2777

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1407199342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379767",
            "telephone_number": "317-570-2777",
            "fax_number": "317-570-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379767",
            "telephone_number": "317-570-2777",
            "fax_number": "317-570-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DENTAL OF FISHERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-570-2777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009552A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2013; 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.