Orthodontic Partners of Indiana, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTIC PARTNERS OF INDIANA, LLC

Doing business as

Gorman & Bunch Orthodontics

Practice address

5594 E 146TH St Ste 220
Noblesville, IN 46062-7071

Phone

(317) 815-9310

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHODONTIC PARTNERS OF INDIANA, LLCAs reported in NPPES

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

Authorized official

Name

Stacy Pope

Title

Project Manager

Phone

(616) 283-8867

Specialties & licenses 1

Addresses

Other names 1

• Gorman & Bunch Orthodontics Doing business as

Part of

Orthodontic Partners of Indiana LLC

Locations

Practitioners 7

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.

• Jerry Richard Hickman, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1780879981
  NPD (past)
• Todd Andrew Hickman, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1922144906
  NPD (past)
• Ariel D. Mitchell, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmel, IN
  • NPI 1902477391
  NPD (past)
• Andrew Raber, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lafayette, IN
  • NPI 1396125944
  NPD (past)
• Kirk Tristan Ripley, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1225148091
  NPD (past)
• Jennifer Ann Russell, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1265552160
  NPD (past)
• Sireen Yang, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lagrange, IN
  • NPI 1396316824
  NPD (past)

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1942089081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5594 E 146TH ST STE 220",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627071",
            "telephone_number": "317-815-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13752 Lakeridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377608",
            "country_code": "US",
            "telephone_number": "317-576-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 N River Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522648",
            "country_code": "US",
            "telephone_number": "765-662-0018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "946 Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469921640",
            "country_code": "US",
            "telephone_number": "260-563-4189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9750 Lantern Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379612",
            "country_code": "US",
            "telephone_number": "317-577-9288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3965 W 106th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460327782",
            "country_code": "US",
            "telephone_number": "317-471-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1499 S Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026058",
            "country_code": "US",
            "telephone_number": "765-459-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16407 Southpark Dr",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460748472",
            "country_code": "US",
            "telephone_number": "317-867-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 Shelby St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462275985",
            "country_code": "US",
            "telephone_number": "317-888-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHODONTIC PARTNERS OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC PARTNERS OF INDIANA, LLC",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gorman & Bunch Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Opsal, FNP
• Optimal Raf Solutions LLC
• Options Charter School - Noblesville
• Stacie L Orahood, P.T.
• Jeffrey David Orcutt, AU.D.
• Orthodynamics Company, Inc.
• Osama Naga Family Dentistry LLC (Cumberland Pointe Dental)
• Donald Patrick Osborn, MS
• Kya Oshier
• Ossip Optometry, P.C. (Ossip Optometry)

• Orthodontics and Dentofacial Orthopedics Dentistry in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.