Organization Active NPI

Kids & Adult Dental Care Inc

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1760027890
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIDS & ADULT DENTAL CARE INC
Practice address
4625 S Emerson Ave
Indianapolis, IN 46203-5972
Phone
(317) 991-4725
Fax
(317) 986-4097
NPI assigned
Nov 13, 2019
Organization subpart
Yes
Parent organization
KIDS & ADULT DENTAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Dr. Rupinder Gill Nagra, DDS
Title
Owner/Dentist
Phone
(317) 991-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4625 S Emerson Ave
Indianapolis, IN 46203-5972

Mailing address

4625 S Emerson Ave
Indianapolis, IN 46203-5972
Phone (317) 991-4725

Other names 1

  • Kids & Adult Dental Center Doing business as

National Provider Directory

National Provider Directory
Part of
Kids Adult Dental Care Inc

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1760027890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035972",
            "telephone_number": "317-991-4725",
            "fax_number": "317-986-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035972",
            "telephone_number": "317-991-4725",
            "fax_number": "317-986-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS & ADULT DENTAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS & ADULT DENTAL CARE INC",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "GILL NAGRA",
        "authorized_official_first_name": "RUPINDER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-991-4725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids & Adult Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2019; 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.