NPIMap

Organization Active NPI

James C. McAllister DDS, Inc

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1861877508
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12006764 Issued in IN
Legal business name
JAMES C. MCALLISTER DDS, INC
Practice address
135 N Shortridge Rd
Suite B-5
Indianapolis, IN 46219-4900
Phone
(317) 357-8548
Fax
(317) 357-8546
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
James Clarence McAllister, DDSNPI 1972637502
Title
President
Phone
(317) 357-8548

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 12006764 IN Primary

Addresses

Primary practice location

135 N Shortridge Rd
Suite B-5
Indianapolis, IN 46219-4900

Mailing address

135 N Shortridge Rd
Suite B-5
Indianapolis, IN 46219-4900
Phone (317) 357-8548

Other identifiers 1

IdentifierTypeStateIssuer
100048150MedicaidIN

National Provider Directory

National Provider Directory

Locations

135 N Shortridge Rd
Ste B5
Indianapolis, IN 46219
Phone (317) 357-8548

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1861877508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N SHORTRIDGE RD",
            "address_2": "SUITE B-5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194900",
            "telephone_number": "317-357-8548",
            "fax_number": "317-357-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N SHORTRIDGE RD",
            "address_2": "SUITE B-5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194900",
            "telephone_number": "317-357-8548",
            "fax_number": "317-357-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. MCALLISTER DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-357-8548",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048150",
            "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 Jul 23, 2015; 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.