Organization Active NPI

Jamestowne Dental

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1497712772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010700 Issued in IN
Legal business name
JAMESTOWNE DENTAL
Practice address
6249 S East St
Indianapolis, IN 46227-2091
Phone
(317) 789-1000
Fax
(317) 789-0001
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Li Chun Che, D.D.S.
Title
Owner
Phone
(317) 789-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010700 IN Primary

Addresses

Primary practice location

6249 S East St
Indianapolis, IN 46227-2091

Mailing address

6249 S East St
Indianapolis, IN 46227-2091
Phone (317) 789-1000

National Provider Directory

National Provider Directory

Locations

6249 S East St
Indianapolis, IN 46227
Phone (317) 789-1000

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497712772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-789-1000",
            "fax_number": "317-789-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-789-1000",
            "fax_number": "317-789-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWNE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "CHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-789-1000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010700",
            "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 Aug 22, 2020; 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.