Organization Active NPI

Sandersweddellpediatric Dentalspecialist

  • Pediatric Dentistry
  • Indianapolis, IN
National Provider Identifier
1700949724
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST
Practice address
860 East 86TH Street
Suite1
Indianapolis, IN 46240-6859
Phone
(317) 575-2899
Fax
(317) 575-2898
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
James A Weddell, D.D.S.
Title
Partner
Phone
(317) 575-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

860 East 86TH Street
Suite1
Indianapolis, IN 46240-6859

Mailing address

860 East 86TH Street
Suite1
Indianapolis, IN 46240-6859
Phone (317) 575-2899

National Provider Directory

National Provider Directory
Tax ID family
Sanders Weddell Pediatric Dental Specialists2 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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1700949724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 EAST 86TH STREET",
            "address_2": "SUITE1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406859",
            "telephone_number": "317-575-2899",
            "fax_number": "317-575-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 EAST 86TH STREET",
            "address_2": "SUITE1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406859",
            "telephone_number": "317-575-2899",
            "fax_number": "317-575-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "WEDDELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-575-2899",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 2, 2008; 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.