Organization Active NPI

Fall Creek Family Dental

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1962708990
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011323A Issued in IN
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

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Rebecca L Foss, DDSNPI 1376771519
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.