Dental Health Professionals of Indiana, P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.

Doing business as

Central Indiana Periodontics

Practice address

8235 Country Village Dr
Indianapolis, IN 46214-3106

Phone

(317) 299-4731

NPI assigned

Apr 7, 2022

Last updated

May 25, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.As reported in NPPES

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

Authorized official

Name

Courtney R Monteith

Title

Credentialing Coordinator

Phone

(217) 540-8306

Specialties & licenses 1

Addresses

Other names 1

• Central Indiana Periodontics Doing business as

Tax ID family

Dental Health Professionals of Indiana PC2 organizations share this tax ID, including this one

Part of

Dental Health Professionals of Indiana PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Health Professionals of Indiana, P.C.

  dba Central Indiana Periodontics

  • Periodontics
  • Indianapolis, IN
  • NPI 1558009662
  NPD tax ID

Locations

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1528700994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 COUNTRY VILLAGE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 COUNTRY VILLAGE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143106",
            "telephone_number": "317-299-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "MONTEITH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8306"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Indiana Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Indiana Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Carol Dent, MSN/CNS/CSR
• Dental Health Assoc of in, PC (Edgewood Gentle Dentist)
• Dental Health Associates of Indiana (North Meridian Gentle Dentist)
• Dental Health Associates of Indiana
• Dental Health Associates, Inc. (Dr. Jerrold Goldsmith, DDS)
• Dental Health Professionals of Indiana, P.C. (Central Indiana Periodontics)
• Dental Professionals of in, P.C. (Park 100 Dental Care)
• Dental Professionals of Indiana, P.C. (Traders Point Dental)
• Dental Professionals of Indiana, P.C. (21st Century Dental Indianapolis)
• Dental Professionals of Indiana, P.C. (Indianapolis Dental Designs)

• Periodontics in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.