NPIMap

Organization Active NPI

Sanders Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Carmel, IN
National Provider Identifier
1831592070
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12009323A Issued in IN
Legal business name
SANDERS PEDIATRIC DENTISTRY LLC
Practice address
13590 N Meridian St
Suite 202
Carmel, IN 46032-1555
Phone
(317) 818-2200
Fax
(317) 818-0555
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Brian J Sanders, DDS, MS
Title
Owner
Phone
(317) 818-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 12009323A IN Primary

Addresses

Primary practice location

13590 N Meridian St
Suite 202
Carmel, IN 46032-1555

Mailing address

13590 N Meridian St
Suite 202
Carmel, IN 46032-1555
Phone (317) 818-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1831592070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 N MERIDIAN ST",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321555",
            "telephone_number": "317-818-2200",
            "fax_number": "317-818-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 N MERIDIAN ST",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321555",
            "telephone_number": "317-818-2200",
            "fax_number": "317-818-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-818-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009323A",
            "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 Oct 2, 2014; 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.