Active NPI
Smith-Brauer Dentistry
- Dentist
- Indianapolis, IN
National Provider Identifier
1881812097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12006427A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12006427A | IN | Primary |
| Dentist | 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 DirectoryLocations
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.