Active NPI
Smile Generators P.C.
- Dental Clinic/Center
- Carmel, IN
National Provider Identifier
1427300797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 12008831A
- 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,
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090710 | Medicaid | IN |
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.
-
- General Practice Dentistry
- Logansport, IN
- NPI 1760568307
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.