Organization Active NPI

Smilevibe Dental

  • Dentist
  • Zionsville, IN
National Provider Identifier
1770358699
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILEVIBE DENTAL
Practice address
1375 Parkway Dr
Zionsville, IN 46077-1954
Phone
(317) 873-8902
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Dr. Anissa Mahmoudi, DDSNPI 1952893216
Title
Dentist
Phone
(459) 328-9536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1375 Parkway Dr
Zionsville, IN 46077-1954

Mailing address

5922 Garden Gate Way
Carmel, IN 46033-8251
Phone (469) 328-9536

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": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1770358699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 GARDEN GATE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338251",
            "telephone_number": "469-328-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 PARKWAY DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771954",
            "telephone_number": "317-873-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEVIBE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MAHMOUDI",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "459-328-9536",
        "authorized_official_name_prefix": "Dr.",
        "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 Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.