CONDRA COSMETIC AND FAMILY DENTISTRY (NPI# 1033689112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033689112 |
| Entity Type | Organization |
| Organization Name | CONDRA COSMETIC AND FAMILY DENTISTRY |
| Practice Address |
8001 Shelby St Indianapolis IN 46227-5970 |
| Practice Telephone | 3178887295 |
| Practice Fax Number | 3178887297 |
| Mailing Telephone | 3178887295 |
| Mailing Fax Number | 3178887297 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | DR. SARAH CONDRA (OWNER/DENTIST) |
| Authorized Official Telephone | 3176910359 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
8001 SHELBY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-5970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922144906 | Todd Andrew Hickman | Dentist | 8001 Shelby St, Suite 1, Indianapolis, IN 46227-5985 | 2007-01-29 |
| 1518495654 | Sarah Cathryn Condra | Dentist | 8001 Shelby St, Indianapolis, IN 46227-5970 | 2017-06-02 |
| 1912161019 | Brett E. Mann Dds, PC | Dentist | 8001 Shelby St, Indianapolis, IN 46227-5970 | 2008-07-17 |
| 1619163045 | Hickman Orthodontic | Dentist | 8001 Shelby St, Suite #1, Indianapolis, IN 46227-5970 | 2007-09-19 |
| 1780879981 | Jerry Richard Hickman | Dentist | 8001 Shelby St, Suite 1, Indianapolis, IN 46227-5970 | 2007-09-11 |
| 1497898951 | Brett E. Mann | Dentist | 8001 Shelby St, Indianapolis, IN 46227-5970 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1033746136 | Jillian C. Brady, Dds, LLC | Clinic/Center | 5150 E Stop 11 Rd Ste 11, Indianapolis, IN 46237-8629 | 2020-03-26 |
| 1356813935 | Red Hat Neighborhood Dentist | Clinic/Center | 5719 Lawton Loop East Dr Ste 2, Indianapolis, IN 46216-2322 | 2018-12-20 |
| 1336618503 | Kim & Au-yeung Dentistry, P.C. | Clinic/Center | 8354 Little Eagle Ct Ste A, Indianapolis, IN 46234-3822 | 2018-11-17 |
| 1033686142 | Red Bird Dental LLC | Clinic/Center | 839 S Delaware St, Indianapolis, IN 46225-1782 | 2018-10-26 |
| 1497239297 | Dennis J. Heritier Dds P.C. | Clinic/Center | 6284 Rucker Rd Ste G, Indianapolis, IN 46220-4851 | 2018-09-18 |
| 1689165672 | Xu Family Dental, LLC | Clinic/Center | 828 Fort Wayne Ave, Indianapolis, IN 46204-1309 | 2018-05-24 |
| 1205332327 | Monroe County Family Dental and Implant Center | Clinic/Center | 401 N Senate Ave Unit 648, Indianapolis, IN 46204-1259 | 2018-04-05 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on CONDRA COSMETIC AND FAMILY DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.