The Dentists at Gateway Crossing LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012701A Issued in IN

Legal business name

THE DENTISTS AT GATEWAY CROSSING LLC

Practice address

6621 W Broadway Ste 600
McCordsville, IN 46055-8811

Phone

(317) 589-0495

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Vogt, DDS

Title

Owner

Phone

(724) 272-8228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1982112116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N COLLEGE AVE APT 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021748",
            "telephone_number": "724-272-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 W BROADWAY STE 600",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460558811",
            "telephone_number": "317-589-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTISTS AT GATEWAY CROSSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-272-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in McCordsville, IN
• Providers in McCordsville, IN by specialty
• General Practice Dentistry in Indiana

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