Indiana Craniofacial Center PC

Primary specialty

DentistTaxonomy code 122300000X

License

12010952A Issued in IN

Legal business name

INDIANA CRANIOFACIAL CENTER PC

Practice address

3750 Guion Rd
Suite 250
Indianapolis, IN 46222-7602

Phone

(317) 283-1900

Fax

(317) 283-1901

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Arthur S Roberts, M.D. D.D.S.

Title

Owner

Phone

(317) 283-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1790936482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GUION RD",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227602",
            "telephone_number": "317-283-1900",
            "fax_number": "317-283-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUION RD",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227602",
            "telephone_number": "317-283-1900",
            "fax_number": "317-283-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CRANIOFACIAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-283-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010952A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indiana Connections Academy, Inc
• Indiana Counseling and Resilience Center, LLC
• Indiana Denture Specialist, Inc
• Indiana Department of Child Services
• Indiana Developmental Training Center LLC
• Indiana Emergency Dental
• Indiana Emergency Dental Fishers LLC (Indiana Emergency Dental)

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.