Organization Active NPI

Lak DDS LLC

Doing business as Smilecentric

  • General Practice Dentistry
  • Carmel, IN
National Provider Identifier
1710422209
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011660 Issued in IN
Legal business name
LAK DDS LLC
Doing business as
Smilecentric
Practice address
14560 River Rd
Suite 105
Carmel, IN 46033-5801
Phone
(317) 764-2938
Fax
(317) 219-6781
NPI assigned
Dec 20, 2016
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Louis AbukhalafNPI 1194010744
Title
DDS
Phone
(312) 375-5306

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 Dentistry 1223G0001X 12011660 IN Primary

Addresses

Primary practice location

14560 River Rd
Suite 105
Carmel, IN 46033-5801

Mailing address

14560 River Rd Ste 105
Carmel, IN 46033-5802
Phone (317) 764-2938

Other names 1

  • Smilecentric Doing business as

National Provider Directory

National Provider Directory

Locations

14560 River Rd
Ste 105
Carmel, IN 46033
Phone (317) 764-2938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1710422209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 RIVER RD STE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460335802",
            "telephone_number": "317-764-2938",
            "fax_number": "317-219-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 RIVER RD",
            "address_2": "SUITE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460335801",
            "telephone_number": "317-764-2938",
            "fax_number": "317-219-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAK DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ABUKHALAF",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "312-375-5306"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilecentric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.