Dental Anesthesia of Indiana, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12011007A Issued in IN

Legal business name

DENTAL ANESTHESIA OF INDIANA, LLC

Practice address

924 Silver Valley Cir
Greenwood, IN 46142-9664

Phone

(317) 534-2098

Fax

(866) 884-6297

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William A Johnson, DDS

Title

President & Managing Owner

Phone

(317) 534-2098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1497044127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SILVER VALLEY CIR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429664",
            "telephone_number": "317-534-2098",
            "fax_number": "866-884-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SILVER VALLEY CIR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429664",
            "telephone_number": "317-534-2098",
            "fax_number": "866-884-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ANESTHESIA OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & MANAGING OWNER",
        "authorized_official_telephone_number": "317-534-2098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011007A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Demougin
• Dustin Demuth, PA-C
• Nicholas Denney, LSW
• Julie C Dennis
• Tyler Denson, RBT
• Dental Health Assoc of in PC (Greenwood Gentle Dentist)
• Dental Professionals of Indiana, P.C. (Healthy Smiles Family Dentistry)
• Dental Professionals of Indiana, P.C. (Honey Grove Family Dentistry)
• Dental Professionals of Indiana, P.C. (Greenwood Family Dentistry)
• Julie Denton, NP

• Dentist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.