Indiana Restorative Dentistry PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

7033 Issued in IN

Legal business name

INDIANA RESTORATIVE DENTISTRY PC

Practice address

370 Medical Dr
Suite B
Carmel, IN 46032-2916

Phone

(317) 844-4155

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen T Lehman, RDH

Title

Office Manager

Phone

(317) 844-4155

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kellie Michelle Schaub

  • Prosthodontics
  • Carmel, IN
  • NPI 1902032030
  NPD (past)
• Tyler Jeffrey Thomas, D.M.D.

  • Prosthodontics
  • Carmel, IN
  • NPI 1073929832
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891916169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322916",
            "telephone_number": "317-844-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322916",
            "telephone_number": "317-844-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA RESTORATIVE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-844-4155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "7033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Home Based Primary Care PC
• Indiana Neuropsychology Group LLC
• Indiana Orofacial Pain, LLC
• Indiana Orthopaedic Center
• Indiana Polyclinic PC
• Indiana Speech Language Therapy Associates LLC
• Indiana Spine Group, PC
• Indiana Spine Group, PC
• Indiana Spine Hospital, LLC (Indiana Spine Hospital)
• Indiana Spine Specialty, LLC

• Prosthodontics in Carmel, IN
• Providers in Carmel, IN by specialty
• Prosthodontics in Indiana

• 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.