Active NPI
Dr. Charles E. Tomich, DDS, MSD, PC
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1588828966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 12006898A
- Legal business name
- DR. CHARLES E. TOMICH, DDS, MSD, PC
- Practice address
- 9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857 - Phone
- (317) 843-2204
- Fax
- (317) 843-2478
- NPI assigned
- Jul 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christy D. Lynn
- Title
- Office Manager
- Phone
- (317) 843-2204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 12006898A | IN | Primary |
Addresses
Primary practice location
9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857
Mailing address
9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857
Phone (317) 843-2204
National Provider Directory
National Provider DirectoryLocations
9292 N Meridian St
Ste 210
Indianapolis, IN 46260
Phone (317) 432-2048
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Pathology Dentistry
- Indianapolis, IN
- NPI 1689678666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1588828966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9292 N MERIDIAN ST",
"address_2": "SUITE 210",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601857",
"telephone_number": "317-843-2204",
"fax_number": "317-843-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9292 N MERIDIAN ST",
"address_2": "SUITE 210",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601857",
"telephone_number": "317-843-2204",
"fax_number": "317-843-2478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. CHARLES E. TOMICH, DDS, MSD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "317-843-2204",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IN",
"license": "12006898A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.