Main Street Dental Care,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAIN STREET DENTAL CARE,LLC

Practice address

642 E Main St
Brownsburg, IN 46112-1423

Phone

(317) 771-9244

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Ashwani Sharma, DDSNPI 1639465149

Title

Owner

Phone

(317) 771-9244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• J. Gary Bischoff, DDS Former legal business name

Locations

Practitioners 2

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

• Ashwani Sharma, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1639465149
  NPD Authorized official
• James Gary Bischoff, D.D.S.

  • General Practice Dentistry
  • Brownsburg, IN
  • NPI 1417031451
  NPD (past)

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1770054520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 RIDGE GATE DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127801",
            "telephone_number": "317-771-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121423",
            "telephone_number": "317-771-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ASHWANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-771-9244",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201259950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Gary Bischoff, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "J. Gary Bischoff, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hannah Heenan Lukemeyer, PT, DPT
• Kaylyn Lynn
• Aiesha Mynell Lyons, MSW, LCSW
• Sharen Mary Macek
• Melissa Maihofer, MS, OTR/L
• Hunter L Maish
• Kaitlyn Maish
• Orlando David Maldonado, MD
• Carla Ann Maloney
• Tyler Margetts

• Dental Clinic/Center in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.