Organization Active NPI

Smith Family Dentistry PC

  • General Practice Dentistry
  • Fishers, IN
National Provider Identifier
1902964562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007179A Issued in IN
Legal business name
SMITH FAMILY DENTISTRY PC
Practice address
8211 E 116TH St
Suite 105
Fishers, IN 46038-1540
Phone
(317) 578-1933
Fax
(317) 578-4495
NPI assigned
Dec 5, 2006
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. Margaret A Smith
Title
Office Manager Secretary of Corpora
Phone
(317) 578-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12007179A IN Primary

Addresses

Primary practice location

8211 E 116TH St
Suite 105
Fishers, IN 46038-1540

Mailing address

8211 E 116TH St
Suite 105
Fishers, IN 46038-1540
Phone (317) 578-1933

National Provider Directory

National Provider Directory

Locations

8211 E 116th St
Ste 105
Fishers, IN 46038
Phone (317) 578-1933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902964562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 E 116TH ST",
            "address_2": "SUITE 105",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381540",
            "telephone_number": "317-578-1933",
            "fax_number": "317-578-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 E 116TH ST",
            "address_2": "SUITE 105",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381540",
            "telephone_number": "317-578-1933",
            "fax_number": "317-578-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER SECRETARY OF CORPORA",
        "authorized_official_telephone_number": "317-578-1933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007179A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, 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.