NPIMap

Organization Active NPI

Viva Dental

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1710423280
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12010607A Issued in IN
Legal business name
VIVA DENTAL
Practice address
3837 N High School Rd
Indianapolis, IN 46254
Phone
(317) 522-0908
Fax
(317) 282-0682
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Shawn CabbellNPI 1366519746
Title
Office Manager
Phone
(317) 522-0908

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
Dental Clinic/Center 261QD0000X 12010607A IN Primary

Addresses

Primary practice location

3837 N High School Rd
Indianapolis, IN 46254

Mailing address

3837 N High School Rd
Indianapolis, IN 46254-2742
Phone (317) 522-0908

National Provider Directory

National Provider Directory

Locations

3837 N High School Rd
Indianapolis, IN 46254
Phone (317) 522-0908

Practitioners & affiliated clinicians

Practitioners 3

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": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1710423280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542742",
            "telephone_number": "317-522-0908",
            "fax_number": "317-282-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-522-0908",
            "fax_number": "317-282-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "CABBELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-522-0908"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010607A",
            "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 Jul 10, 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.