Organization Active NPI

GB East LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fishers, IN
National Provider Identifier
1780310516
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GB EAST LLC
Doing business as
Gorman & Bunch Orthodontics
Practice address
9750 Lantern Rd
Fishers, IN 46037-9612
Phone
(317) 577-9288
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Tiffany Hartman
Title
HR Manager
Phone
(765) 613-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

9750 Lantern Rd
Fishers, IN 46037-9612

Mailing address

5594 E 146TH St Ste 220
Noblesville, IN 46062-6909
Phone (765) 613-0740

Other names 1

  • Gorman & Bunch Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany@gormanbunch.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9750 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9288

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1780310516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5594 E 146TH ST STE 220",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626909",
            "telephone_number": "765-613-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-577-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GB EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "765-613-0740"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@gormanbunch.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9750 Lantern Rd",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gorman & Bunch Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.