West 10TH Dental Group, Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION

Practice address

6443 W 10TH St
Suite 204
Indianapolis, IN 46214-6501

Phone

(317) 247-9512

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brent J. Barta, D.D.S.

Title

President/Owner

Phone

(317) 247-9512

Specialties & licenses 3

Addresses

Other names 1

• Oral Sugery and Implant Center of Indiana Doing business as

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1578757191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 W 10TH ST",
            "address_2": "SUITE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146501",
            "telephone_number": "317-247-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 W 10TH ST",
            "address_2": "SUITE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146501",
            "telephone_number": "317-247-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-247-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010589A",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010678A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Sugery and Implant Center of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marta Wesolowski, M.D.
• Anne Roney Wessel, M.D.
• Natasha Wessells
• Allison Anne Wessels, RBT 16-17147
• Troy Wesson
• West 38TH Dental, LTD
• West Indy Pippin Dental PC
• West Morris Street Chiropractic Clinic Inc
• Andrea Beatrice West, PA
• Andrew West, MD

• 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 Aug 28, 2007; 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.