Decatur Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DECATUR FAMILY DENTISTRY LLC

Practice address

5021 Kentucky Ave
Suite G
Indianapolis, IN 46221-3625

Phone

(317) 455-1425

Fax

(317) 455-1428

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Stewart Scearce, DDS

Title

Owner

Phone

(317) 865-1193

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian E Brown, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1861753758
  NPD (past)
• Jeffrey A Taylor, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1083027353
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1861775587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 KENTUCKY AVE",
            "address_2": "SUITE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213625",
            "telephone_number": "317-455-1425",
            "fax_number": "317-455-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 KENTUCKY AVE",
            "address_2": "SUITE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213625",
            "telephone_number": "317-455-1425",
            "fax_number": "317-455-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "SCEARCE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-865-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew E Deburger, CAA
• Natalie Rae Deburger, CAA
• Shelise Mahaia Decal, LMFT
• Decatur Civil Township
• Decatur Family Dentistry LLC
• Jiffyrich Montes Dechavez
• Isai Deciano
• Tatiana Deciano
• Christian Keller Deck, LCSW
• Joseph Lee Deck

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.