NPIMap

Organization Active NPI

Shane T Cope DDS, PC

  • Periodontics
  • Carmel, IN
National Provider Identifier
1588997183
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12011052A Issued in IN
Legal business name
SHANE T COPE DDS, PC
Doing business as
Precision Periodontics & Dental Implant Center
Practice address
10435 Commerce Drive
Suite 120
Carmel, IN 46032
Phone
(317) 564-4820
Fax
(317) 564-4822
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Shane Cope, D.D.S., M.S.D.
Title
President
Phone
(317) 564-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 12011052A IN Primary

Addresses

Primary practice location

10435 Commerce Drive
Suite 120
Carmel, IN 46032

Mailing address

10435 Commerce Drive
Suite 120
Carmel, IN 46032
Phone (317) 564-4820

Other names 1

  • Precision Periodontics & Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

10435 Commerce Dr
Ste 120
Carmel, IN 46032
Phone (317) 564-4820

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1588997183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 COMMERCE DRIVE",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-564-4820",
            "fax_number": "317-564-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 COMMERCE DRIVE",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-564-4820",
            "fax_number": "317-564-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE T COPE DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-564-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12011052A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Periodontics & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.