Smile in Fishers, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE IN FISHERS, LLC

Practice address

9865 E 116TH St Ste 100
Fishers, IN 46037-9237

Phone

(937) 206-6837

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Ashley Coad

Title

Operations Administrator

Phone

(317) 570-5480

Specialties & licenses 1

Addresses

Other names 1

• Smile Dentistry in Fishers Doing business as

Locations

Practitioners 1

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

• Samuel Bacon, D.D.S.

  • Dentist
  • Fishers, IN
  • NPI 1811070857
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1730655937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379237",
            "telephone_number": "937-206-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379237",
            "telephone_number": "937-206-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE IN FISHERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "COAD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "317-570-5480"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dentistry in Fishers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas W Sliwa, MD
• Mary Slowiak, LCSW
• Martin Stephen Small, RPH
• Smartview Imaging, LLC
• Kyle Smetana
• Smile Time Orthodontics, LLC
• Smith Family Dentistry PC
• Amani Smith
• Andrew Smith
• Andrew P Smith, PT

• General Practice Dentistry in Fishers, IN
• Providers in Fishers, 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 Oct 16, 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.