Organization Active NPI

Quality Correctional Dental Services LLC

  • General Practice Dentistry
  • Carmel, IN
National Provider Identifier
1730906223
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUALITY CORRECTIONAL DENTAL SERVICES LLC
Practice address
12900 N Meridian St Ste 140
Carmel, IN 46032-5401
Phone
(765) 749-5290
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Lora Sorrell
Title
Director
Phone
(765) 749-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12900 N Meridian St Ste 140
Carmel, IN 46032-5401

Mailing address

401 W Air Park Dr
Muncie, IN 47303
Phone (765) 749-5290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1730906223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W AIR PARK DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47303",
            "telephone_number": "765-749-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 N MERIDIAN ST STE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325401",
            "telephone_number": "765-749-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CORRECTIONAL DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-749-5290"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2024; 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.