Rli Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010486A Issued in IN

Legal business name

RLI DENTAL, LLC

Practice address

7340 Crossing PL
Suite 200
Fishers, IN 46038-2785

Phone

(317) 570-5480

Fax

(317) 570-5481

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Anne Nemser, LDH

Title

Business Manager

Phone

(317) 570-5480

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Simply Smile Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Bacon, D.D.S.

  • Dentist
  • Fishers, IN
  • NPI 1811070857
  NPD (past)
• Kelsey Moskwinski, DDS

  • Dentist
  • Fishers, IN
  • NPI 1205314085
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1689837940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 CROSSING PL",
            "address_2": "SUITE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382785",
            "telephone_number": "317-570-5480",
            "fax_number": "317-570-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 CROSSING PL",
            "address_2": "SUITE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382785",
            "telephone_number": "317-570-5480",
            "fax_number": "317-570-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLI DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NEMSER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "317-570-5480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010486A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Ritz, PT, DPT
• Patrick Rivelli, DC
• Alec Emilio Rivera, NP
• Riverview Hospital
• RJ Fury Chiropractic LLC
• Amy M. Roache, D.C.
• Taydriana Nicole Robertson
• Alexis Robinson
• Kathleen O'Bryan Robinson, LCSW
• Lacey Lynne Robinson

• General Practice Dentistry in Fishers, IN
• Providers in Fishers, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.