NPIMap

Organization Active NPI

Hadley Family Dentistry, Inc

Doing business as SoBro Dental

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1871318378
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HADLEY FAMILY DENTISTRY, INC
Doing business as
SoBro Dental
Practice address
4560 Ocean St
Indianapolis, IN 46205-0109
Phone
(317) 900-1692
Fax
(317) 780-5849
NPI assigned
Nov 19, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Chelsea Campbell
Title
Office Manager
Phone
(317) 780-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4560 Ocean St
Indianapolis, IN 46205-0109

Mailing address

5406 S Emerson Ave
Indianapolis, IN 46237-1970
Phone (317) 780-7777

Other names 1

  • SoBro Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hadley Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4560 Ocean St
Indianapolis, IN 46205
Phone (317) 900-1692

5406 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 780-7777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1871318378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371970",
            "telephone_number": "317-780-7777",
            "fax_number": "317-780-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 OCEAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462050109",
            "telephone_number": "317-900-1692",
            "fax_number": "317-780-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADLEY FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-780-7777"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoBro 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 Nov 21, 2024; 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.