NPIMap

Organization Active NPI

Peak Periodontal & Dental Implant Specialists

  • Periodontics
  • Carmel, IN
National Provider Identifier
1801412564
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PEAK PERIODONTAL & DENTAL IMPLANT SPECIALISTS
Practice address
3003 E 98TH St Ste 200
Carmel, IN 46280-1973
Phone
(317) 843-1281
Fax
(317) 574-9390
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Rachel M Black, DMD MSD
Title
Owner
Phone
(317) 843-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3003 E 98TH St Ste 200
Carmel, IN 46280-1973

Mailing address

3003 E 98TH St Ste 200
Carmel, IN 46280-1973
Phone (317) 843-1281

National Provider Directory

National Provider Directory

Locations

3003 E 98th St
Ste 200
Carmel, IN 46280
Phone (317) 426-1642

Practitioners & affiliated clinicians

Practitioners 2

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": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1801412564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462801973",
            "telephone_number": "317-843-1281",
            "fax_number": "317-574-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462801973",
            "telephone_number": "317-843-1281",
            "fax_number": "317-574-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERIODONTAL & DENTAL IMPLANT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-843-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.