Organization Active NPI

Youthful Smiles Children & Family Dentistry, LLC

  • Dental Clinic/Center
  • Muncie, IN
National Provider Identifier
1528671765
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YOUTHFUL SMILES CHILDREN & FAMILY DENTISTRY, LLC
Practice address
200 E McGalliard Rd
Muncie, IN 47303-2009
Phone
(765) 254-1706
NPI assigned
Aug 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Kaleem Mian, DDSNPI 1467553578
Title
Dentist
Phone
(607) 745-3708

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

200 E McGalliard Rd
Muncie, IN 47303-2009

Mailing address

16352 Sedalia Dr
Fishers, IN 46040-9719

National Provider Directory

National Provider Directory

Locations

200 E McGalliard Rd
Muncie, IN 47303
Phone (765) 254-1706

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": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1528671765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16352 SEDALIA DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460409719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032009",
            "telephone_number": "765-254-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL SMILES CHILDREN & FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "KALEEM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "607-745-3708",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.