Organization Active NPI

Imburgia Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plainfield, IN
National Provider Identifier
1528408945
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
IMBURGIA ORTHODONTICS LLC
Practice address
2230 Stafford Rd
Suite 157
Plainfield, IN 46168-2789
Phone
(317) 296-5388
NPI assigned
Jun 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Anthony Imburgia, DDSNPI 1629418090
Title
Sole Member
Phone
(317) 997-7930

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2230 Stafford Rd
Suite 157
Plainfield, IN 46168-2789

Mailing address

2230 Stafford Rd
Suite 157
Plainfield, IN 46168-2789
Phone (317) 296-5388

National Provider Directory

National Provider Directory

Locations

2230 Stafford Rd
Ste 157
Plainfield, IN 46168
Phone (317) 296-5388

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1528408945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STAFFORD RD",
            "address_2": "SUITE 157",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682789",
            "telephone_number": "317-296-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STAFFORD RD",
            "address_2": "SUITE 157",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682789",
            "telephone_number": "317-296-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBURGIA ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-29",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "IMBURGIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "317-997-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.