NPIMap

Organization Active NPI

Desiree S. Dimond DDS,PC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1679629380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009228 Issued in IN
Legal business name
DESIREE S. DIMOND DDS,PC
Practice address
3606 Olender Dr
Indianapolis, IN 46221-2749
Phone
(317) 856-5268
Fax
(317) 856-8035
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Desiree S. Dimond, DDSNPI 1447306147
Title
Dentist
Phone
(317) 856-5268

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009228 IN Primary

Addresses

Primary practice location

3606 Olender Dr
Indianapolis, IN 46221-2749

Mailing address

3606 Olender Dr
Indianapolis, IN 46221-2749
Phone (317) 856-5268

National Provider Directory

National Provider Directory

Locations

3606 Olender Dr
Indianapolis, IN 46221
Phone (317) 856-5268

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679629380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 OLENDER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212749",
            "telephone_number": "317-856-5268",
            "fax_number": "317-856-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 OLENDER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212749",
            "telephone_number": "317-856-5268",
            "fax_number": "317-856-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIREE S. DIMOND DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-856-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009228",
            "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 Aug 22, 2020; 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.