NPIMap

Organization Active NPI

Northside Endodontics, PC

  • Endodontics
  • Indianapolis, IN
National Provider Identifier
1730345646
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54000837A Issued in IN
Legal business name
NORTHSIDE ENDODONTICS, PC
Practice address
1010 E 86TH St
Suite 15
Indianapolis, IN 46240-1868
Phone
(317) 844-3396
Fax
(317) 844-4776
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. John H Slavens, DDS, MSDNPI 1295779866
Title
Owner
Phone
(317) 844-3396

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 54000837A IN Primary

Addresses

Primary practice location

1010 E 86TH St
Suite 15
Indianapolis, IN 46240-1868

Mailing address

1010 E 86TH St
Suite 15
Indianapolis, IN 46240-1868
Phone (317) 844-3396

National Provider Directory

National Provider Directory
Tax ID family
Northside Endodontics PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1010 E 86th St
Ste 15
Indianapolis, IN 46240
Phone (317) 844-3396

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": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1730345646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 86TH ST",
            "address_2": "SUITE 15",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401868",
            "telephone_number": "317-844-3396",
            "fax_number": "317-844-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 86TH ST",
            "address_2": "SUITE 15",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401868",
            "telephone_number": "317-844-3396",
            "fax_number": "317-844-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SLAVENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "54000837A",
            "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 30, 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.