NPIMap

Organization Active NPI

Dental Health Associates of Indiana

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Avon, IN
National Provider Identifier
1700067261
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DENTAL HEALTH ASSOCIATES OF INDIANA
Practice address
110B North Avon Avenue
Avon, IN 46123
Phone
(317) 272-7206
Fax
(317) 272-8206
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Mr. Bradley G Angell, DMD
Title
President
Phone
(502) 785-7886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

110B North Avon Avenue
Avon, IN 46123

Mailing address

110B North Avon Avenue
Avon, IN 46123
Phone (317) 272-7206

Other names 1

  • American Family Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Assoc of in13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1700067261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110B NORTH AVON AVENUE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7206",
            "fax_number": "317-272-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110B NORTH AVON AVENUE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-7206",
            "fax_number": "317-272-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-785-7886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.