University Dental Service Plan Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UNIVERSITY DENTAL SERVICE PLAN INC

Practice address

1121 W Michigan St
Room 285B
Indianapolis, IN 46202-5211

Phone

(317) 278-6946

Fax

(317) 274-6583

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jill Allen

Title

Clinic Adminstrator

Phone

(317) 278-6946

Specialties & licenses 9

Addresses

Other names 1

• Dental Faculty Private Practice Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul C. Edwards, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Indianapolis, IN
  • NPI 1356334072
  NPD
• Lawrence I Goldblatt, DDS MSD

  • Oral and Maxillofacial Pathology Dentistry
  • Indianapolis, IN
  • NPI 1255308011
  NPD
• Pamela Jackson Linder, D.M.D

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689963225
  NPD
• Oriana Reis Capin, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1457791212
  NPD (past)
• Alan R Gould, DDS, MS

  • Oral and Maxillofacial Pathology Dentistry
  • Crestwood, KY
  • NPI 1043229545
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1407996291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W MICHIGAN ST",
            "address_2": "ROOM 285B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025211",
            "telephone_number": "317-278-6946",
            "fax_number": "317-284-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W MICHIGAN ST",
            "address_2": "ROOM 285B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025211",
            "telephone_number": "317-278-6946",
            "fax_number": "317-274-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL SERVICE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CLINIC ADMINSTRATOR",
        "authorized_official_telephone_number": "317-278-6946",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Faculty Private Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unity Physician Group, PC
• Unity Reliable Transportation
• Unitycare Homestead LLC
• Universal Behavioral Service
• University Clinical Neurologists, Inc
• University Dermatology, Inc.
• University Emergency Medicine
• University Family Physicians Inc
• University Family Physicians, Inc.
• University Family Physicians, Inc.

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.