NPIMap

Organization Active NPI

Indianapolis Endodontics, P.C.

  • Endodontics
  • Indianapolis, IN
National Provider Identifier
1770744377
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54000259A Issued in IN
Legal business name
INDIANAPOLIS ENDODONTICS, P.C.
Practice address
3750 Guion Rd
Suite #280
Indianapolis, IN 46222-7602
Phone
(317) 924-3228
Fax
(317) 924-3737
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Kenneth J Spolnik, D.D.S., M.S.D.
Title
President
Phone
(317) 924-3228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 54000259A IN Primary

Addresses

Primary practice location

3750 Guion Rd
Suite #280
Indianapolis, IN 46222-7602

Mailing address

3750 Guion Rd
Suite #280
Indianapolis, IN 46222-7602
Phone (317) 924-3228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1770744377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GUION RD",
            "address_2": "SUITE #280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227602",
            "telephone_number": "317-924-3228",
            "fax_number": "317-924-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUION RD",
            "address_2": "SUITE #280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227602",
            "telephone_number": "317-924-3228",
            "fax_number": "317-924-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SPOLNIK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-924-3228",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "54000259A",
            "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 Jun 17, 2008; 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.