Organization Active NPI

Midwest Prosthodontics LLC

Doing business as Indiana Restorative Dentistry

  • Prosthodontics
  • Carmel, IN
National Provider Identifier
1942709118
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12012667A Issued in IN
Legal business name
MIDWEST PROSTHODONTICS LLC
Doing business as
Indiana Restorative Dentistry
Practice address
370 Medical Dr Ste B
Carmel, IN 46032-2971
Phone
(317) 844-4155
Fax
(317) 844-6650
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Tyler Thomas, DMDNPI 1073929832
Title
Owner
Phone
(317) 844-4155

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
Prosthodontics 1223P0700X 12012667A IN Primary

Addresses

Primary practice location

370 Medical Dr Ste B
Carmel, IN 46032-2971

Mailing address

370 Medical Dr Ste B
Carmel, IN 46032-2971
Phone (317) 844-4155

Other names 1

  • Indiana Restorative Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

370 Medical Dr
Ste B
Carmel, IN 46032
Phone (317) 844-4155

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1942709118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DR STE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322971",
            "telephone_number": "317-844-4155",
            "fax_number": "317-844-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DR STE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322971",
            "telephone_number": "317-844-4155",
            "fax_number": "317-844-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PROSTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-4155",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "12012667A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Restorative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.