Organization Active NPI

Smith-Brauer Dentistry

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1881812097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12006427A Issued in IN
Legal business name
SMITH-BRAUER DENTISTRY
Practice address
5625 Castle Creek Parkway N. Drive
Indianapolis, IN 46250-4304
Phone
(317) 585-0005
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary E Smith
Title
Secretary
Phone
(317) 585-0005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12006427A IN Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12010538A IN

Addresses

Primary practice location

5625 Castle Creek Parkway N. Drive
Indianapolis, IN 46250-4304

Mailing address

5625 Castle Creek Parkway N. Drive
Indianapolis, IN 46250-4304
Phone (317) 585-0005

National Provider Directory

National Provider Directory

Locations

5625 Castle Creek Parkway North Dr
Indianapolis, IN 46250
Phone (317) 585-0005

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881812097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 CASTLE CREEK PARKWAY N. DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504304",
            "telephone_number": "317-585-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 CASTLE CREEK PARKWAY N. DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504304",
            "telephone_number": "317-585-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH-BRAUER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "317-585-0005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006427A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010538A",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.