Toni-Marie Small, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12013434A Issued in IN

Practice address

6820 Parkdale PL Ste 117
Indianapolis, IN 46254-4699

Phone

(561) 808-5489

NPI assigned

Apr 22, 2020

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiny Tooth Village Pediatric Dentistry

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1194601633
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1861012569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL STE 117",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544699",
            "telephone_number": "561-808-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL STE 117",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544699",
            "telephone_number": "561-808-5489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Children's Dental Center",
            "address_2": "9885 E 116th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "46037",
            "country_code": "US",
            "telephone_number": "317-842-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "TONI-MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Small, NP
• Kelcie Marie Small
• Rebecca R Small, MD
• Sarah K Small, PSYD
• Shayne M Small, MD
• Whitney Small, BCBA
• Adam Robert Smalley, MD
• Audra Marie Smallwood, NP
• Erin Smallwood, CLC
• Nicole Anna Smallwood, OTR/L

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.