Carmien & Pedavoli Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC

Practice address

850 Columbus Dr
Plymouth, IN 46563-1877

Phone

(574) 963-2527

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Carmien, DDSNPI 1669819215

Title

Owner/Partner Dentist

Phone

(574) 963-2527

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Steven Carmien, D.D.S.

  • General Practice Dentistry
  • Plymouth, IN
  • NPI 1669819215
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1780446989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBUS DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631877",
            "telephone_number": "574-963-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBUS DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631877",
            "telephone_number": "574-963-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CARMIEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PARTNER DENTIST",
        "authorized_official_telephone_number": "574-963-2527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Cadwell, PSY.D.,HSPP
• Dawn Campbell, M.S.N./F.N.P.
• Manuel Johannes Cardenas Rivera, FNP-C
• Cardinal Center, Inc.
• Geri Carlson, M.A., M.MIN.
• Matthew Steven Carmien, D.D.S.
• Charlie J Celadina II, PT
• Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
• Cep America - Anesthesia PC
• Cep America LLC

• General Practice Dentistry in Plymouth, IN
• Providers in Plymouth, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.