Organization Active NPI

Affordable Dentures & Implants - East Indianapolis, P.C.

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1487215455
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS, P.C.
Practice address
9749 E Washington St Ste A2
Indianapolis, IN 46229-3035
Phone
(317) 897-8021
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Kurt Rider, DMD
Title
Owner
Phone
(317) 897-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9749 E Washington St Ste A2
Indianapolis, IN 46229-3035

Mailing address

9749 E Washington St Ste A2
Indianapolis, IN 46229-3035
Phone (317) 897-8021

National Provider Directory

National Provider Directory

Locations

9749 E Washington St
#A2
Indianapolis, IN 46229
Phone (252) 999-8438

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1487215455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 E WASHINGTON ST STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293035",
            "telephone_number": "317-897-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9749 E WASHINGTON ST STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293035",
            "telephone_number": "317-897-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-897-8021",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.