NPIMap

Organization Active NPI

Choice Dental Centre of Greenwood PC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1851423099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009965 Issued in IN
Legal business name
CHOICE DENTAL CENTRE OF GREENWOOD PC
Practice address
8936 Southpointe Drive
Suite B 6
Indianapolis, IN 46227-7506
Phone
(317) 881-5200
Fax
(317) 881-9255
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle E Lumsdon, DDSNPI 1326170564
Title
Pres
Phone
(317) 881-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009965 IN Primary

Addresses

Primary practice location

8936 Southpointe Drive
Suite B 6
Indianapolis, IN 46227-7506

Mailing address

8936 Southpointe Drive
Suite B 6
Indianapolis, IN 46227-7506
Phone (317) 881-5200

Other identifiers 2

IdentifierTypeStateIssuer
1691652OtherINUNITED CONCORDIA
20051320AMedicaidIN

National Provider Directory

National Provider Directory

Locations

8936 Southpointe Dr
Ste B6
Indianapolis, IN 46227
Phone (317) 881-5200

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851423099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DRIVE",
            "address_2": "SUITE B 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277506",
            "telephone_number": "317-881-5200",
            "fax_number": "317-881-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DRIVE",
            "address_2": "SUITE B 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277506",
            "telephone_number": "317-881-5200",
            "fax_number": "317-881-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE DENTAL CENTRE OF GREENWOOD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUMSDON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "317-881-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1691652",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20051320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.