DR. GERARDO MAUPOME-CARVANTES (NPI# 1164848685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164848685 |
| Entity Type | Individual |
| Full Name | DR. GERARDO MAUPOME-CARVANTES |
| Practice Address |
415 Lansing St Indianapolis IN 46202-2855 |
| Practice Telephone | 3172745529 |
| Mailing Telephone | 3172745529 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
98000619A | IN | Dental Providers |
| Street Address |
415 LANSING ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467585844 | Carlos Gonzalez | Dentist | 415 Lansing St, Indianapolis, IN 46202-2855 | 2007-03-14 |
| 1093150542 | Lakshmi Ganesan | Dentist | 415 Lansing St, Oh 101, Indianapolis, IN 46202-2855 | 2013-05-09 |
| 1629226709 | Armando E Soto | Dentist | 415 Lansing St, Indianapolis, IN 46202-2855 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205353802 | Lorie G Brinson, Dds, PC | Dentist | 3934 W 96th St Ste B, Indianapolis, IN 46268-2928 | 2017-08-24 |
| 1881906634 | Cratisa Latwann Caldwell | Dentist | 8151 E 21st St, Indianapolis, IN 46219 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904100 | Kokomo Pediatric Dentistry, LLC | Dentist | 2350 S Dixon Rd Ste 425, Kokomo, IN 46902-6422 | 2018-06-05 |
| 1265805717 | Smile Academy of Kentucky | Dentist | 2776 Campion Road, Floyds Knobs, IN 47119 | 2015-11-05 |
| 1982986493 | Mark E Mallatt | Dentist | 1753 Esther Ct, Plainfield, IN 46168-9336 | 2011-09-12 |
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| 1558450346 | James A Roberts | Dentist | 102 N Clark St, Auburn, IN 46706 | 2006-10-12 |
| 1134159676 | Vanderburgh County | Dentist | 612 Se 4th St, Evansville, IN 47713-1210 | 2006-07-03 |
| 1710927843 | Robert Mark Grace | Dentist | Community Health Center, 400 Teagarden, La Porte, IN 46350-3175 | 2006-06-07 |
| 1487262531 | Chloe Katherine Mounayar | Dentist | 1200 Andrew Ave, La Porte, IN 46350-5339 | 2020-07-15 |
| 1891137865 | Columbus Advanced Family Dentistry | Dentist | 3158 N National Rd, Columbus, IN 47201-3170 | 2013-07-19 |
| 1598026270 | Olubunmi Adekugbe | Dentist | 7891 Broadway, Merrillville, IN 46410-5556 | 2012-05-30 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| 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.