NPIMap

Organization Active NPI

Masters Family Dentistry LLC

  • Dental Clinic/Center
  • Greenwood, IN
National Provider Identifier
1689878415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12011008A Issued in IN
Legal business name
MASTERS FAMILY DENTISTRY LLC
Practice address
191 US Highway 31 S
Ste 1
Greenwood, IN 46142-3582
Phone
(317) 881-2500
NPI assigned
Jun 14, 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. Jacob Lee Masters, DDSNPI 1326242157
Title
Manager
Phone
(317) 881-2500

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
Dental Clinic/Center 261QD0000X 12011008A IN Primary

Addresses

Primary practice location

191 US Highway 31 S
Ste 1
Greenwood, IN 46142-3582

Mailing address

191 US Highway 31 S
Ste 1
Greenwood, IN 46142-3582
Phone (317) 881-2500

National Provider Directory

National Provider Directory

Locations

191 US Highway 31 S
Ste 1
Greenwood, IN 46142
Phone (317) 881-2500

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689878415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 US HIGHWAY 31 S",
            "address_2": "STE 1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423582",
            "telephone_number": "317-881-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 US HIGHWAY 31 S",
            "address_2": "STE 1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423582",
            "telephone_number": "317-881-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-881-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, 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.