DCP of Indiana (Castleton Square), P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DCP OF INDIANA (CASTLETON SQUARE), P.C.

Practice address

4025 E 82ND St Ste 104
Indianapolis, IN 46250-4749

Phone

(317) 913-0480

Fax

(216) 584-1052

NPI assigned

Jan 27, 2006

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Rachel Nittinger

Title

Credentialing Manager

Phone

(972) 755-0816

Specialties & licenses 7

Addresses

Other names 1

• DentalWorks of Clearwater Doing business as

Tax ID family

DCP of Indiana Castleton Square PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• DCP of Indiana (Castleton Square), P.C.

  • General Practice Dentistry
  • Noblesville, IN
  • NPI 1962940254
  NPD tax ID

Locations

Practitioners 2

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

• Tara Emerick, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmel, IN
  • NPI 1073929030

  General Practice

  NPD (past)
• Carol A. Pittman, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1679691307
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1700857026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DALLAS PKWY STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247111",
            "telephone_number": "972-755-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 E 82ND ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504749",
            "telephone_number": "317-913-0480",
            "fax_number": "216-584-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCP OF INDIANA (CASTLETON SQUARE), P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "NITTINGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "972-755-0816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DentalWorks of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DCL Medical Laboratories LLC
• DCL Medical Laboratories LLC
• DCL Medical Laboratories, LLC
• DCL Medical Laboratories, LLC
• DCL Pathology LLC
• DCP of Indiana (Lafayette Square) PC
• Flavio De Alcantara Camejo, DDS
• Karen Oco De Alday
• Caio De Andrade Staut, MD
• Gabriela De Arredondo

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 Mar 19, 2018; 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.