Lafayette Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAFAYETTE DENTAL, LLC

Practice address

3554 Promenade Pkwy Ste D
Lafayette, IN 47909-8418

Phone

(317) 985-7363

NPI assigned

May 30, 2024

Last updated

May 30, 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

Riddhi KshatriyaNPI 1366949281

Title

Dentist/Owner

Phone

(662) 414-5375

Specialties & licenses 1

Addresses

Locations

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.

• Riddhi Kshatriya

  • General Practice Dentistry
  • Jackson, TN
  • NPI 1366949281
  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1811737398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 WHITAKER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542307",
            "telephone_number": "662-414-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY STE D",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098418",
            "telephone_number": "317-985-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "KSHATRIYA",
        "authorized_official_first_name": "RIDDHI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "662-414-5375"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.