Organization Active NPI

Lock & Mirani Dentistry, LLC

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1942931696
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOCK & MIRANI DENTISTRY, LLC
Doing business as
Tipton Lakes Family Dentistry
Practice address
4570 W Jonathan Moore Pike
Columbus, IN 47201-4686
Phone
(502) 475-2023
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dr. Shuaib Mirani, DDSNPI 1427673086
Title
Member
Phone
(502) 475-2023

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4570 W Jonathan Moore Pike
Columbus, IN 47201-4686

Mailing address

1440 S East St
Indianapolis, IN 46225-1806
Phone (502) 475-2023

Other names 1

  • Tipton Lakes Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4570 W Jonathan Moore Pike
Columbus, IN 47201
Phone (502) 475-2023

Practitioners & affiliated clinicians

Practitioners 1

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1942931696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251806",
            "telephone_number": "502-475-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 W JONATHAN MOORE PIKE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472014686",
            "telephone_number": "502-475-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCK & MIRANI DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "MIRANI",
        "authorized_official_first_name": "SHUAIB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-475-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tipton Lakes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.