Active NPI
Fall Creek Family Dental
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1962708990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12011323A
- Legal business name
- FALL CREEK FAMILY DENTAL
- Practice address
- 9751 Fall Creek Rd
Indianapolis, IN 46256-4713 - Phone
- (317) 842-1090
- Fax
- (317) 842-3472
- NPI assigned
- Feb 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca L Foss, DDS
- Title
- Dentist
- Phone
- (317) 670-5893
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011323A | IN | Primary |
Addresses
Primary practice location
9751 Fall Creek Rd
Indianapolis, IN 46256-4713
Mailing address
9751 Fall Creek Rd
Indianapolis, IN 46256-4713
Phone (317) 842-1090
National Provider Directory
National Provider DirectoryLocations
9751 Fall Creek Rd
Indianapolis, IN 46256
Phone (317) 842-1090
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1376771519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297209600000",
"number": "1962708990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9751 FALL CREEK RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564713",
"telephone_number": "317-842-1090",
"fax_number": "317-842-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9751 FALL CREEK RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564713",
"telephone_number": "317-842-1090",
"fax_number": "317-842-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALL CREEK FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A",
"authorized_official_last_name": "FOSS",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "317-670-5893",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011323A",
"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 Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.