NPIMap

Organization Active NPI

Bridgewater Dental Care

  • Dental Clinic/Center
  • Carmel, IN
National Provider Identifier
1881066959
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12010273A Issued in IN
Legal business name
BRIDGEWATER DENTAL CARE
Practice address
4728 Limerick Dr Ste a
Carmel, IN 46033-3402
Phone
(317) 581-1280
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Vincent Mendoza
Title
Office Manager
Phone
(317) 581-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12010273A IN Primary

Addresses

Primary practice location

4728 Limerick Dr Ste a
Carmel, IN 46033-3402

Mailing address

4728 Limerick Dr Ste a
Carmel, IN 46033-3402

National Provider Directory

National Provider Directory

Locations

4728 Limerick Dr
#A
Carmel, IN 46033
Phone (317) 581-1280

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1881066959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 LIMERICK DR STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 LIMERICK DR STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333402",
            "telephone_number": "317-581-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-581-1280"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010273A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.