Organization Active NPI

Urgent Dental Center SW LLC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1770193591
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
URGENT DENTAL CENTER SW LLC
Practice address
2907 Kentucky Ave Ste a
Indianapolis, IN 46221-2103
Phone
(317) 399-5771
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Rekha Chaudhari, DDS
Title
Owner
Phone
(847) 894-0631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2907 Kentucky Ave Ste a
Indianapolis, IN 46221-2103

Mailing address

2907 Kentucky Ave Ste a
Indianapolis, IN 46221-2103
Phone (317) 399-5771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1770193591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 KENTUCKY AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212103",
            "telephone_number": "317-399-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 KENTUCKY AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212103",
            "telephone_number": "317-399-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT DENTAL CENTER SW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARI",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-894-0631",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 6, 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.