Mid America Professional Group, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MID AMERICA PROFESSIONAL GROUP, PC

Doing business as

School Smiles

Practice address

1499 Windhorst Way
Ste 100
Greenwood, IN 46143-8800

Phone

(317) 886-6639

Fax

(888) 547-0377

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Corum, DMD

Title

Owner

Phone

(317) 886-6639

Specialties & licenses 1

Addresses

Other names 1

• School Smiles Doing business as

Tax ID family

Mid America Dental Group of Maryland PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mid America Health, Inc

  dba Mid America Family Dental Clinics, PC

  • Dentist
  • Greenwood, IN
  • NPI 1770642118
  NPD tax ID
• Mid America Dental Group of Maryland PC

  • Dentist
  • Stevensville, MD
  • NPI 1992149033
  NPD tax ID

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1891854360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY",
            "address_2": "STE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY",
            "address_2": "STE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA PROFESSIONAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "CORUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-886-6639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "School Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MFDC of Indiana, Inc (Gentle Dentist - Greenwood)
• Sarah Lorraine Michael, RN
• Michele Michalski, LCSW
• Melissa Marie Michels, MD
• Mid America Health, Inc (Mid America Family Dental Clinics, PC)
• Midwest Eye Consultants, P.C. (CLI Surgery Center - Greenwood)
• Midwest Eye Consultants, PC (Midwest Eye Consultants 56)
• Midwest Eye Consultants, PC (Cataract and Laser Institute Greenwood)
• Midwest Eye Consultants, PC (Midwest Eye Consultants #55)
• James Robert Miglin III, PT, DPT

• Dentist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.