Organization Active NPI

Sweet Tooth Dentistry, LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1902542160
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SWEET TOOTH DENTISTRY, LLC
Practice address
9510 N Meridian St Ste 250
Indianapolis, IN 46260-1334
Phone
(317) 910-7832
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Dr. Shereen A Elsahy, DDSNPI 1851731483
Title
Dentist / Owner
Phone
(317) 910-7832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

9510 N Meridian St Ste 250
Indianapolis, IN 46260-1334

Mailing address

9510 N Meridian St Ste 250
Indianapolis, IN 46260-1334
Phone (317) 910-7832

Other identifiers 3

IdentifierTypeStateIssuer
1851731483OtherINNPI TYPE 1
201249040MedicaidIN
12012010AOtherININ DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

9510 N Meridian St
Ste 250
Indianapolis, IN 46260
Phone (317) 660-1914

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1902542160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 N MERIDIAN ST STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601334",
            "telephone_number": "317-910-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 N MERIDIAN ST STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601334",
            "telephone_number": "317-910-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "ELSAHY",
        "authorized_official_first_name": "SHEREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "317-910-7832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1851731483",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201249040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN DENTAL LICENSE",
            "identifier": "12012010A",
            "state": "IN"
        }
    ],
    "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 May 10, 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.