DR. LARRY A CRISAFULLI (NPI# 1316187016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316187016 |
| Entity Type | Individual |
| Full Name | DR. LARRY A CRISAFULLI |
| Credential | DDS |
| Practice Address |
1121 W Michigan Street Ds307b Indianapolis IN 46202-5186 |
| Practice Telephone | 3172783632 |
| Practice Fax Number | 3172742603 |
| Mailing Telephone | 2023322291 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12012038A | IN | Dental Providers |
| Street Address |
1121 W MICHIGAN STREET DS307B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334072 | Paul C. Edwards | Dentist | 1121 W Michigan Street, Indianapolis, IN 46202-5186 | 2005-08-29 |
| 1669864575 | Esperanza Martinez Mier | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2015-03-02 |
| 1144665167 | Tasha E Hall | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2013-05-03 |
| 1407168636 | Wei-shao Lin | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2010-07-02 |
| 1265769780 | Jeannie M Vickery | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2009-11-04 |
| 1770716607 | Daniel Edward Shin | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2009-08-26 |
| 1134347776 | Thomas G Barrick | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2007-04-20 |
| 1598892374 | Daniel S Bennett | Dentist | 1121 W Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-02-27 |
| 1275643371 | Brooke N Adams | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2006-08-30 |
| 1841244803 | Craig T Mueller | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2006-05-22 |
| Find all providers in the same location | ||||
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1932766508 | Brooke Nichole Scott | Dentist | 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 | 2019-05-20 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1639652126 | Gh Dental | Dentist | 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 | 2018-09-11 |
| 1326533068 | Bryce Ashton Chambers | Dentist | 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 | 2018-06-26 |
| 1932694528 | Mfdc of Indiana, Inc | Dentist | 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 | 2018-06-26 |
| 1306331905 | Mfdc of Indiana, Inc | Dentist | 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 | 2018-06-26 |
| 1376037853 | Decatur Family Dentistry LLC | Dentist | 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 | 2018-06-19 |
| 1215420252 | Wesley Kenn Burcham | Dentist | 1481 W 10th St # 160, Indianapolis, IN 46202 | 2018-06-13 |
| Find all providers in INDIANAPOLIS | ||||
| 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.