Organization Active NPI

Indianapolis Dental Care LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1922446129
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INDIANAPOLIS DENTAL CARE LLC
Practice address
5550 S East St
Building B, Suite a
Indianapolis, IN 46227-1979
Phone
(317) 513-8669
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Whitney Monet Moore, D.D.S.NPI 1013987114
Title
Owner
Phone
(317) 513-8669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5550 S East St
Building B, Suite a
Indianapolis, IN 46227-1979

Mailing address

5550 S East St
Building B, Suite a
Indianapolis, IN 46227-1979
Phone (317) 513-8669

National Provider Directory

National Provider Directory

Locations

5550 S East St
Ste A
Indianapolis, IN 46227
Phone (317) 783-6626

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1922446129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S EAST ST",
            "address_2": "BUILDING B, SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271979",
            "telephone_number": "317-513-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S EAST ST",
            "address_2": "BUILDING B, SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271979",
            "telephone_number": "317-513-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-513-8669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 10, 2013; 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.