Organization Active NPI

Greenwood Dental Health, LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1740613488
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREENWOOD DENTAL HEALTH, LLC
Practice address
6249 S East St
Suite J
Indianapolis, IN 46227-2091
Phone
(317) 789-1000
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Matthew Fraiz
Title
Member
Phone
(317) 379-4831

Specialties & licenses 1

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

Addresses

Primary practice location

6249 S East St
Suite J
Indianapolis, IN 46227-2091

Mailing address

8402 Harcourt Rd
Suite 625
Indianapolis, IN 46260-2074
Phone (317) 872-3465

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1740613488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "SUITE 625",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-872-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-789-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "FRAIZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-379-4831"
    },
    "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 Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.