Organization Active NPI

Brownsburg Family Dental Care, Inc.

  • General Practice Dentistry
  • Brownsburg, IN
National Provider Identifier
1508889890
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009188B Issued in IN
Legal business name
BROWNSBURG FAMILY DENTAL CARE, INC.
Practice address
8 Motif Blvd
Brownsburg, IN 46112-1017
Phone
(317) 852-4593
Fax
(317) 852-1095
NPI assigned
Jul 26, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Todd Rupert Eder, D.D.S.NPI 1760405039
Title
President
Phone
(317) 852-4593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009188B IN Primary

Addresses

Primary practice location

8 Motif Blvd
Brownsburg, IN 46112-1017

Mailing address

8 Motif Blvd
Brownsburg, IN 46112-1017
Phone (317) 852-4593

National Provider Directory

National Provider Directory

Locations

8 Motif Blvd
Brownsburg, IN 46112
Phone (317) 852-4593

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1508889890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MOTIF BLVD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121017",
            "telephone_number": "317-852-4593",
            "fax_number": "317-852-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MOTIF BLVD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121017",
            "telephone_number": "317-852-4593",
            "fax_number": "317-852-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSBURG FAMILY DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "EDER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RUPERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-4593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009188B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.