Organization Active NPI

Sedwick Dental, LLC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1841476900
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010647A Issued in IN
Legal business name
SEDWICK DENTAL, LLC
Practice address
9751 Fall Creek Road
Indianapolis, IN 46256-4713
Phone
(317) 842-1090
Fax
(317) 842-3472
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Cherie Yuen Sedwick, DDS
Title
Owner/Dentist
Phone
(317) 842-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12010647A IN Primary

Addresses

Primary practice location

9751 Fall Creek Road
Indianapolis, IN 46256-4713

Mailing address

9751 Fall Creek Road
Indianapolis, IN 46256-4713
Phone (317) 842-1090

Other names 1

  • Fall Creek Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1841476900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 FALL CREEK ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564713",
            "telephone_number": "317-842-1090",
            "fax_number": "317-842-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 FALL CREEK ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564713",
            "telephone_number": "317-842-1090",
            "fax_number": "317-842-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDWICK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "SEDWICK",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "YUEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-842-1090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010647A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fall Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.