Sanders Weddell Pediatric Dental Specialists

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12009323 Issued in IN

Legal business name

SANDERS WEDDELL PEDIATRIC DENTAL SPECIALISTS

Practice address

14555 Hazel Dell Pkwy
Suite 100
Carmel, IN 46033-7000

Phone

(317) 816-1555

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Sanders, DDS

Title

Owner

Phone

(317) 816-1555

Specialties & licenses 1

Addresses

Tax ID family

Sanders Weddell Pediatric Dental Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sandersweddellpediatric Dentalspecialist

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1700949724
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Weddell, DDS

  • Pediatric Dentistry
  • Carmel, IN
  • NPI 1952568487
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1417118969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-816-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-816-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS WEDDELL PEDIATRIC DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-816-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaydeep Dayanand Samant, PT
• Nadia Samini
• Hani Mohamad Samman
• Gabrielle Nicole Sanchez, COTA/L
• Sanders Pediatric Dentistry LLC
• Brandi L Sanders, LMHC
• Lisa Sanders
• Melanie Sanders, M.D.
• Molly Sanders
• Towanda Sanders

• Pediatric Dentistry in Carmel, IN
• Providers in Carmel, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.