Active NPI
Mec Dental I, P.C.
- General Practice Dentistry
- Shelbyville, IN
National Provider Identifier
1811159700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12010045A
- Legal business name
- MEC DENTAL I, P.C.
- Doing business as
- Shelbyville Family Dental
- Practice address
- 114 Lee Blvd
Suite E
Shelbyville, IN 46176-3403 - Phone
- (317) 398-6399
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Edward Church, D.M.D.
- Title
- Owner/President
- Phone
- (317) 336-6723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010045A | IN | Primary |
Addresses
Primary practice location
114 Lee Blvd
Suite E
Shelbyville, IN 46176-3403
Mailing address
114 Lee Blvd
Suite E
Shelbyville, IN 46176-3403
Phone (317) 398-6399
Other names 1
- Shelbyville Family Dental
National Provider Directory
National Provider DirectoryLocations
114 Lee Blvd
Ste E
Shelbyville, IN 46176
Phone (317) 336-6723
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Shelbyville, IN
- NPI 1851559272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1811159700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 LEE BLVD",
"address_2": "SUITE E",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461763403",
"telephone_number": "317-398-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 LEE BLVD",
"address_2": "SUITE E",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461763403",
"telephone_number": "317-398-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEC DENTAL I, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "CHURCH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "317-336-6723",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010045A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelbyville Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.