Steve Douglas, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009346 Issued in IN

Legal business name

STEVE DOUGLAS, DDS, PC

Practice address

6745 Gray Rd
Suite F
Indianapolis, IN 46237-3262

Phone

(317) 786-1277

Fax

(317) 786-1497

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steve Douglas, DDS

Title

Owner

Phone

(317) 786-1277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1437454733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 GRAY RD",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373262",
            "telephone_number": "317-786-1277",
            "fax_number": "317-786-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 GRAY RD",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373262",
            "telephone_number": "317-786-1277",
            "fax_number": "317-786-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE DOUGLAS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-786-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102910A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Karen Lynn Steuer, PHARM D
• Brian Lee Steuerwald, PHD, HSPP
• Steven F Isenberg MD Inc
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• Steven Mark Herman
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• 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 Jan 18, 2011; 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.