Central Indiana Periodontal Associates,LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CENTRAL INDIANA PERIODONTAL ASSOCIATES,LLC

Practice address

2840 N High School Rd
Indianapolis, IN 46224-4724

Phone

(317) 299-4731

Fax

(317) 329-5054

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By 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. Daniel Gomes, DDS, MSDNPI 1942358007

Title

Registered Agent

Phone

(317) 299-4731

Specialties & licenses 1

Addresses

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.

• Daniel Gomes, DDS, MSD

  • Periodontics
  • Indianapolis, IN
  • NPI 1942358007
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1437333150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462244724",
            "telephone_number": "317-299-4731",
            "fax_number": "317-329-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462244724",
            "telephone_number": "317-299-4731",
            "fax_number": "317-329-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PERIODONTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "317-299-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Indiana Anesthesiologists, LLC
• Central Indiana Clubhouse NFP Corp (Circle City Clubhouse)
• Central Indiana Crisis Pregnancy Center
• Central Indiana Orthopedics, LLC (Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana)
• Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
• Central Indiana Periodontics, PC
• Central Indiana Pet, LLC
• Central Indiana Podiatry, PC (Achilles Podiatry)
• Central Indiana Podiatry, PC (Achilles Podiatry Group)
• Central Indiana Pulmonary Consultants, LLC

• Periodontics in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.