NORTHEAST ORTHODONTICS


Address: 7205 North Shadeland Avenue, Indianapolis, IN 46250
Phone: 3178490110

NORTHEAST ORTHODONTICS (NPI# 1285847376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285847376
Entity Type Organization
Organization Name NORTHEAST ORTHODONTICS
Practice Address 7205 North Shadeland Avenue
Indianapolis
IN 46250
Practice Telephone 3178490110
Practice Fax Number 3178458845
Mailing Telephone 3178490110
Mailing Fax Number 3178458845
Enumeration Date 2007-05-07
Last Update Date 2020-08-22
Authorized Official Name MRS. MARISA A WALKER (OWNER)
Authorized Official Telephone 3178490110
Authorized Official Credential DDS MSP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
12009571A IN Dental Providers

Office Location

Street Address 7205 NORTH SHADELAND AVENUE
City INDIANAPOLIS
State IN
Zip Code 46250

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1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508376708 Glander Rochford Orthodontics, LLC Dentist 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 2017-10-03
1063941391 Premier Orthodontics LLC Dentist 8860 Zionsville Rd Ste B, Indianapolis, IN 46268-1043 2017-06-09
1699211169 J. Orthodontics Inc Dentist 8071 Township Line Rd Ste 100, Indianapolis, IN 46260-2601 2017-01-09
1043661028 Jamie Lazin Dentist 11 E 58th St, Indianapolis, IN 46220-2519 2016-06-30
1730561416 Erin Zervas Dentist 6230 Tybalt Pl, Indianapolis, IN 46254-5164 2015-06-18
1376891200 Marisa Anne Walker Dentist 7205 N Shadeland Ave, Indianapolis, IN 46250-2021 2012-08-27
1972884047 Larrabee Orthodontics, Pllc Dentist 8513 Country Meadows Dr, Indianapolis, IN 46234-1881 2011-09-02
1114138187 Karl William Glander II Dentist 7750 Madison Ave, Indianapolis, IN 46227-5606 2007-05-24
1447466925 Karen Locke Cottingham Dentist 3916 Shore Dr, Indianapolis, IN 46254-2604 2007-05-14
1396869087 Growing Smiles Inc. Dentist 7210 Madison Ave Ste O, Indianapolis, IN 46227-5227 2007-03-19
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46250

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Dataset Information

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.

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