Organization Active NPI

Smile Generators P.C.

  • Dental Clinic/Center
  • Carmel, IN
National Provider Identifier
1427300797
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12008831A Issued in IN
Legal business name
SMILE GENERATORS P.C.
Practice address
4727 Lisborn Dr
Carmel, IN 46033-2201
Phone
(317) 587-0100
Fax
(317) 587-0200
NPI assigned
Oct 10, 2012
Organization subpart
Yes
Parent organization
DR. TODD W. WALTERS P.C,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Todd Walters, D.D.S.
Title
President/Owner
Phone
(317) 587-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12008831A IN Primary

Addresses

Primary practice location

4727 Lisborn Dr
Carmel, IN 46033-2201

Mailing address

4727 Lisborn Dr
Carmel, IN 46033-2201
Phone (317) 587-0100

Other identifiers 1

IdentifierTypeStateIssuer
100090710MedicaidIN

National Provider Directory

National Provider Directory
Part of
Dr Todd W Walters PC

Locations

4727 Lisborn Dr
Carmel, IN 46033
Phone (317) 587-0100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1427300797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LISBORN DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460332201",
            "telephone_number": "317-587-0100",
            "fax_number": "317-587-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 LISBORN DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460332201",
            "telephone_number": "317-587-0100",
            "fax_number": "317-587-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE GENERATORS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. TODD W. WALTERS P.C,",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-587-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12008831A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.