NPIMap

Organization Active NPI

Sinnis Family Dental, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1649659913
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009597A Issued in IN
Legal business name
SINNIS FAMILY DENTAL, INC.
Practice address
6998 E 30TH St
Indianapolis, IN 46219-1105
Phone
(317) 547-1111
Fax
(317) 547-1141
NPI assigned
May 20, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. George L Sinnis, D.D.S.NPI 1265650923
Title
Doctor
Phone
(317) 547-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009597A IN Primary

Addresses

Primary practice location

6998 E 30TH St
Indianapolis, IN 46219-1105

Mailing address

6998 E 30TH St
Indianapolis, IN 46219-1105
Phone (317) 547-1111

Other identifiers 2

IdentifierTypeStateIssuer
200255930MedicaidIN
200255930AMedicaidIN

National Provider Directory

National Provider Directory

Locations

6998 E 30th St
Indianapolis, IN 46219
Phone (317) 547-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1649659913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6998 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191105",
            "telephone_number": "317-547-1111",
            "fax_number": "317-547-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6998 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191105",
            "telephone_number": "317-547-1111",
            "fax_number": "317-547-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINNIS FAMILY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "SINNIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "317-547-1111",
        "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": "12009597A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255930",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255930A",
            "state": "IN"
        }
    ],
    "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 Dec 23, 2015; 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.