Organization Active NPI

Mikem.H.Deldar,DDS,PC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1609905801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009956 Issued in IN
Legal business name
MIKEM.H.DELDAR,DDS,PC
Doing business as
Smile by Design
Practice address
6535 E 82ND St
Suite 211
Indianapolis, IN 46250-4524
Phone
(317) 849-3597
Fax
(317) 913-0641
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammad Hashem Deldar, D.D.S
Title
Owner
Phone
(317) 849-3597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009956 IN Primary

Addresses

Primary practice location

6535 E 82ND St
Suite 211
Indianapolis, IN 46250-4524

Mailing address

6535 E 82ND St
Suite 211
Indianapolis, IN 46250-4524
Phone (317) 849-3597

Other names 1

  • Smile by Design Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609905801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 E 82ND ST",
            "address_2": "SUITE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504524",
            "telephone_number": "317-849-3597",
            "fax_number": "317-913-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 E 82ND ST",
            "address_2": "SUITE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504524",
            "telephone_number": "317-849-3597",
            "fax_number": "317-913-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKEM.H.DELDAR,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELDAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HASHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-849-3597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.