Indy Dental Group WC, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009479 Issued in IN

Legal business name

INDY DENTAL GROUP WC, INC.

Practice address

12720 Meeting House Rd
Carmel, IN 46032-7334

Phone

(317) 571-1900

Fax

(317) 569-9695

NPI assigned

Oct 4, 2006

Last updated

Jan 1, 2014By 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. Elzabeth B Lewis, DDS

Title

Owner

Phone

(317) 571-1900

Specialties & licenses 1

Addresses

Other names 1

• JACK M. & ELIZABETH B. MILLER, LLC Former legal business name

Practitioners 8

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.

• Tyler Scott Bennett, DDS

  • Dentist
  • Carmel, IN
  • NPI 1962187211
  NPD (past)
• Raymond John Gove, DDS

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1841498631
  NPD (past)
• Ashley Taylor Gray, DMD

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1962751859
  NPD (past)
• Philip Michael Hoyt, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1033647763
  NPD (past)
• Elizabeth B. Lewis-Miller, D.D.S.

  • Dentist
  • Carmel, IN
  • NPI 1023218393
  NPD (past)
• Chelsea McKnight, DDS

  • Dentist
  • Carmel, IN
  • NPI 1578240842
  NPD (past)
• Jack M Miller, DDS

  • Dentist
  • Carmel, IN
  • NPI 1063612265
  NPD (past)
• Alexandria Schwei, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1427438936

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388534400000",
    "number": "1568557338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MEETING HOUSE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327334",
            "telephone_number": "317-571-1900",
            "fax_number": "317-569-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MEETING HOUSE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327334",
            "telephone_number": "317-571-1900",
            "fax_number": "317-569-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY DENTAL GROUP WC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-01-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELZABETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-571-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACK M. & ELIZABETH B. MILLER, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Carmel, IN
• Providers in Carmel, 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 1, 2014; 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.