Dentistry of Indiana, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY OF INDIANA, INC.

Practice address

2727 N High School Rd
Indianapolis, IN 46224-2911

Phone

(317) 299-0706

Fax

(317) 328-4859

NPI assigned

Apr 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Cedric Johnson, DDSNPI 1346206869

Title

President

Phone

(317) 299-0706

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Cedric Johnson, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1346206869
  NPD (past) Authorized official
• Audrey Elizabeth Johnson, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1568428035
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750346680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462242911",
            "telephone_number": "317-299-0706",
            "fax_number": "317-328-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N HIGH SCHOOL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462242911",
            "telephone_number": "317-299-0706",
            "fax_number": "317-328-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-299-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Services of Indiana, P.C. (ImmediaDent)
• Dental Sleep Medicine of Indiana
• Dental Sleep Medicine of Indiana Corporation (Dental Sleep Medicine of Indiana)
• Francis Casey Dentino, DDS
• Dentistry by DMK, LLC (Glendale Family Dentistry)
• Dentistryone of Indiana PC
• Drew Lindsey Denton, M.S.
• Mike J Denton, CMFT CADAC
• Robert David Denyer, CAA
• Denzel Special Keepers LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 Aug 22, 2020; 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.