Southport Smiles Family and Cosmetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHPORT SMILES FAMILY AND COSMETIC DENTISTRY

Doing business as

Southport Smiles Family and Cosmetic Dentistry

Practice address

1505 E Southport Rd
Indianapolis, IN 46227-5303

Phone

(317) 784-2266

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Bethany Geyman, DDS

Title

Dentist

Phone

(317) 507-1568

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southport Smiles Family and Cosmetic Dentistry Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Ann Zubia Partlow, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1467930461
  NPD
• Matthew W Stegemiller, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1033268073
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1457908667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275303",
            "telephone_number": "317-784-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275303",
            "telephone_number": "317-784-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT SMILES FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "GEYMAN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-507-1568",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558498238",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Indianapolis",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 E Southport Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462275303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southport Smiles Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Medical Corporation PC
• Thomas E Southern, MD
• Southpointe Pediatrics, PC
• Southport Adult Day Center
• Southport Dental, P.C.
• Southside Emergency Associates
• Southside Eye Associates
• Southside Family Medical Group, LLC
• Southside Family Physicians, Inc
• Southside Internal Medicine PC

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.