Kids & Adult Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIDS & ADULT DENTAL INC

Practice address

1030 Country Club Rd
Indianapolis, IN 46234-1813

Phone

(317) 991-4725

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Marie Bibb

Title

Practice Administrator

Phone

(317) 605-8367

Specialties & licenses 1

Addresses

Other names 1

• KIDS & ADULT DENTAL Doing business as

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1679398424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COUNTRY CLUB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462341813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTRY CLUB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462341813",
            "telephone_number": "317-991-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS & ADULT DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-605-8367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS & ADULT DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy Jo Kidd
• Kidmosphere Inc
• Kidney & Hypertension Consultants, P.C.
• Molly Elizabeth Kidney, NP
• Kids & Adult Dental Care Inc
• Kids & Adult Dentistry Inc
• Kids ENT of Indiana LLC
• Kids Only, Inc
• Kids Theraplay, Inc.
• Christopher W Kidwell Jr., MD

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.