NPIMap

Organization Active NPI

Renew Dental Arts, LLC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1659832012
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RENEW DENTAL ARTS, LLC
Practice address
2205 N Delaware St Ste 103
Indianapolis, IN 46205-4363
Phone
(317) 602-8924
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Christopher Miller, DDSNPI 1689748238
Title
Owner Dentist
Phone
(317) 602-8924

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2205 N Delaware St Ste 103
Indianapolis, IN 46205-4363

Mailing address

2205 N Delaware St Ste 103
Indianapolis, IN 46205-4363
Phone (317) 602-8924

National Provider Directory

National Provider Directory

Locations

2205 N Delaware St
Ste 103
Indianapolis, IN 46205
Phone (317) 602-8924

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1659832012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N DELAWARE ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462054363",
            "telephone_number": "317-602-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N DELAWARE ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462054363",
            "telephone_number": "317-602-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "317-602-8924",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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 28, 2019; 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.