Shank Center for Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

1201391A Issued in IN

Legal business name

SHANK CENTER FOR DENTISTRY LLC

Practice address

6904 S East St
Suite F
Indianapolis, IN 46227-2693

Phone

(317) 788-4239

NPI assigned

Jan 18, 2011

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Wesley Shank, D.D.S.NPI 1356500102

Title

Sole Member

Phone

(317) 788-4239

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Kyle W Shank, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1356500102
  NPD Authorized official

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1548565831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 S EAST ST",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272693",
            "telephone_number": "317-788-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 S EAST ST",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272693",
            "telephone_number": "317-788-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANK CENTER FOR DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "317-788-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "1201391A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1201391A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nori Shan
• Sarah Shanabruch
• Layla Shanah
• Kathryn E Shanahan, RD, CD
• Aurora Shands, M.D.
• Cori Shank, PT
• Kyle W Shank, DDS
• Ramamurthy R Shankar, MD
• Sudha S Shankar, M.D.
• Samantha Shanklin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.