Magnus Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAGNUS DENTISTRY, LLC

Practice address

7440 N Shadeland Ave Ste 212
Indianapolis, IN 46250-2027

Phone

(317) 849-9961

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Kathy Marie Lamont, RDH

Title

Director of Operations

Phone

(317) 450-4899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1538758610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11934 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462360110",
            "telephone_number": "317-450-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502027",
            "telephone_number": "317-849-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "LAMONT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-450-4899",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnolia Care LLC
• Magnolia Health System IX, Inc.
• Phillip Walter Magnone, M.D.
• Claudine Magnus, PSY.D.
• Julie Lynne Magnus, D.D.S
• Keith Magnus, PH.D.
• Marcus J Magnussen, DO
• Heather Magombo

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.