NPIMap

Organization Active NPI

Avalon Dentistry, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1699974345
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8889 Issued in IN
Legal business name
AVALON DENTISTRY, INC.
Practice address
7118 N Shadeland Ave
Indianapolis, IN 46250-2020
Phone
(317) 849-6776
Fax
(317) 578-0106
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Christine Borkowski, D.D.S.NPI 1972696961
Title
Dentist
Phone
(317) 849-6776

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8889 IN Primary

Addresses

Primary practice location

7118 N Shadeland Ave
Indianapolis, IN 46250-2020

Mailing address

7118 N Shadeland Ave
Indianapolis, IN 46250-2020
Phone (317) 849-6776

National Provider Directory

National Provider Directory

Locations

7118 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 849-6776

Practitioners & affiliated clinicians

Practitioners 6

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1699974345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502020",
            "telephone_number": "317-849-6776",
            "fax_number": "317-578-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502020",
            "telephone_number": "317-849-6776",
            "fax_number": "317-578-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-849-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8889",
            "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 Oct 22, 2007; 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.