NPIMap

Organization Active NPI

Hoosier Dental in LLC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1639025638
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HOOSIER DENTAL IN LLC
Practice address
10820 Pendleton Pike Ste B
Indianapolis, IN 46236-2952
Phone
(317) 597-0184
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Juan Yepes
Title
Owner
Phone
(317) 938-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10820 Pendleton Pike Ste B
Indianapolis, IN 46236-2952

Mailing address

PO Box 83110
Philadelphia, PA 19182-0001

Other practice location 1

45 W Green Meadows Dr
Greenfield, IN 46140-3095
Phone (317) 526-5505

Other practice location 2

13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone (317) 588-2575

National Provider Directory

National Provider Directory

Locations

45 W Green Meadows Dr
Greenfield, IN 46140
Phone (317) 526-5505

Practitioners & affiliated clinicians

Practitioners 5

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": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1639025638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PENDLETON PIKE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362952",
            "telephone_number": "317-597-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 W Green Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461403095",
            "country_code": "US",
            "telephone_number": "317-526-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13760 Lakeridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377608",
            "country_code": "US",
            "telephone_number": "317-588-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOOSIER DENTAL IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "YEPES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-938-1181"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2026; 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.