NPIMap

Organization Active NPI

Complete Dental Care of Avon P.C.

  • Prosthodontics
  • Avon, IN
National Provider Identifier
1962502146
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12009826 Issued in IN
Legal business name
COMPLETE DENTAL CARE OF AVON P.C.
Practice address
10740 E US Highway 36
A
Avon, IN 46123-7982
Phone
(317) 271-3079
Fax
(317) 271-2574
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Louis D Menegotto, DDS PROSTHODONTISTNPI 1053403022
Title
President
Phone
(317) 271-3079

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 12009826 IN
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 12009826 IN Primary

Addresses

Primary practice location

10740 E US Highway 36
A
Avon, IN 46123-7982

Mailing address

10740 E US Highway 36
A
Avon, IN 46123-7982
Phone (317) 271-3079

National Provider Directory

National Provider Directory

Locations

10740 E US Highway 36
#A
Avon, IN 46123
Phone (317) 271-3079

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962502146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 E US HIGHWAY 36",
            "address_2": "A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237982",
            "telephone_number": "317-271-3079",
            "fax_number": "317-271-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 E US HIGHWAY 36",
            "address_2": "A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237982",
            "telephone_number": "317-271-3079",
            "fax_number": "317-271-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE OF AVON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MENEGOTTO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-271-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PROSTHODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009826",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "12009826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.