Organization Active NPI

Indy Aesthetic & Implant Dentistry, LLC

Doing business as Circle City Dental

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1649675836
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INDY AESTHETIC & IMPLANT DENTISTRY, LLC
Doing business as
Circle City Dental
DDSNow Urgent Dental Care
Practice address
435 Virginia Ave Unit 1800
Indianapolis, IN 46203-0016
Phone
(317) 672-7522
Fax
(317) 672-7524
NPI assigned
Oct 30, 2014
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Dean Stratman
Title
Practice Administrator
Phone
(317) 672-7522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IN Primary

Addresses

Primary practice location

435 Virginia Ave Unit 1800
Indianapolis, IN 46203-0016

Mailing address

435 Virginia Ave Unit 1800
Indianapolis, IN 46203-0016
Phone (317) 672-7522

Other practice location 1

2910 N College Ave
Indianapolis, IN 46205-4147
Phone (317) 280-3140

Other names 2

  • Circle City Dental Doing business as
  • DDSNow Urgent Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2910 N College Ave
Indianapolis, IN 46205
Phone (317) 280-3140

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1649675836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 VIRGINIA AVE UNIT 1800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030016",
            "telephone_number": "317-672-7522",
            "fax_number": "317-672-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 VIRGINIA AVE UNIT 1800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030016",
            "telephone_number": "317-672-7522",
            "fax_number": "317-672-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462054147",
            "country_code": "US",
            "telephone_number": "317-280-3140",
            "fax_number": "317-280-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDY AESTHETIC & IMPLANT DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "STRATMAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-672-7522"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle City Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DDSNow Urgent Dental Care",
            "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 Jan 15, 2021; 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.