Active NPI
Ammar C. Louly, DDS
- Prosthodontics
- Indianapolis, IN
National Provider Identifier
1699808899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 12009247
- Practice address
- 11530 E Washington Street
Indianapolis, IN 46229-2828 - Phone
- (317) 869-0000
- Fax
- (317) 869-0233
- NPI assigned
- Mar 14, 2007
- Last updated
- May 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 12009247 | IN | Primary |
Addresses
Primary practice location
11530 E Washington Street
Indianapolis, IN 46229-2828
Mailing address
11530 E Washington Street
Indianapolis, IN 46229-2828
Phone (317) 869-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31-1915397 | Other | IN | TAX ID. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louly Dentistry, Inc | Prosthodontics | Current | Accepting new patients |
Locations
11530 E Washington St
Indianapolis, IN 46229
Phone (317) 869-0000
9602 E Washington St
Ste A
Indianapolis, IN 46229
Phone (317) 869-0000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1699808899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11530 E WASHINGTON STREET",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292828",
"telephone_number": "317-869-0000",
"fax_number": "317-869-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11530 E WASHINGTON STREET",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292828",
"telephone_number": "317-869-0000",
"fax_number": "317-869-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOULY",
"first_name": "AMMAR",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IN",
"license": "12009247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID. #",
"identifier": "31-1915397",
"state": "IN"
}
],
"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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.