Active NPI
Smile Zone Periodontics LLC.
- Periodontics
- Highland, IN
National Provider Identifier
1831889369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- SMILE ZONE PERIODONTICS LLC.
- Practice address
- 8731 Indianapolis Blvd
Highland, IN 46322-1551 - Phone
- (219) 966-9600
- NPI assigned
- May 9, 2023
- 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
- Rosa Mendez
- Title
- Receptionist
- Phone
- (219) 966-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
8731 Indianapolis Blvd
Highland, IN 46322-1551
Mailing address
8731 Indianapolis Blvd
Highland, IN 46322-1551
Phone (219) 966-9600
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Burr Ridge, IL
- NPI 1689059297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1831889369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8731 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221551",
"telephone_number": "219-966-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8731 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221551",
"telephone_number": "219-966-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE ZONE PERIODONTICS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "RECEPTIONIST",
"authorized_official_telephone_number": "219-966-9600"
},
"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 Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.