IMMEDIADENT OF INDIANA, P.C. (NPI# 1477946374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477946374 |
| Entity Type | Organization |
| Organization Name | IMMEDIADENT OF INDIANA, P.C. |
| Other Organization Name | IMMEDIADENT |
| Practice Address |
8845 Boehning Ln Indianapolis IN 46219-1974 |
| Mailing Address |
Po Box 11568 Overland Park KS 66207-4268 |
| Practice Telephone | 3178991112 |
| Practice Fax Number | 8665910604 |
| Mailing Telephone | 9134281686 |
| Mailing Fax Number | 8665910604 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MONICA L LONG (MANAGER OF PROVIDER CREDENTIALING) |
| Authorized Official Telephone | 9134281686 |
| Is Organization Subpart | Y |
| Parent Organization Name | IMMEDIADENT OF INDIANA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200377170A | 05 |
| Other Name | Type Code |
|---|---|
| ImmediaDent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699168435 | Immediadent of Indiana, P.C. | Dentist | 5457 W 38th St, Indianapolis, IN 46254-2917 | 2015-03-17 |
| 1679966410 | Immediadent of Indiana, P.C. | Dentist | 8906 Rockville Rd, Indianapolis, IN 46234-2732 | 2015-03-17 |
| 1407249246 | Immediadent of Indiana, P.C. | Dentist | 7015 Us Highway 31s, Suite D, Indianapolis, IN 46227-8619 | 2015-03-17 |
| 1578732806 | Immediadent of Indiana, P.C. | Dentist | 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735 | 2008-02-20 |
| 1063560555 | Immediadent of Indiana, P.C. | Dentist | 3269 W. 86th Street, Suite A-2, Indianapolis, IN 46268-3822 | 2007-01-08 |
| 1427583103 | Immediadent of Indiana, P.C. | Dentist | 6150 E 82nd St # 100, Indianapolis, IN 46250-1500 | 2017-05-01 |
| 1487047387 | Immediadent of Indiana, P.C. | Dentist | 6150 E 82nd St, Suite 100, Indianapolis, IN 46250-1500 | 2015-03-17 |
| 1851784607 | Immediadent of Indiana, P.C. | Dentist | 2128 Mounds Rd, Anderson, IN 46016-5713 | 2015-03-17 |
| 1154508331 | Immediadent of Indiana, P.C. | Dentist | 360 New Albany Plz, New Albany, IN 47150-4654 | 2008-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | IMMEDIADENT OF INDIANA, P.C. | 10601 Mission Road, Suite 240, Leawood, KS 66206 |
| Street Address |
8845 BOEHNING LN |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055091 | Caleb Edward Gilman | Dentist | 8845 Boehning Ln, Indianapolis, IN 46219-1974 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902452055 | Summerlin Dental LLC | Dentist | 3351 N Meridian St Ste 105, Indianapolis, IN 46208-4674 | 2019-08-14 |
| 1255986808 | Ashton Monique Green | Dentist | 9940 Pendleton Pike Ste B, Indianapolis, IN 46236-2823 | 2019-08-09 |
| 1497317309 | Alyssa Marie Hoover | Dentist | 5406 S Emerson Ave, Indianapolis, IN 46237-1970 | 2019-07-01 |
| 1487215455 | Affordable Dentures & Implants - East Indianapolis, P.C. | Dentist | 9749 E Washington St Ste A2, Indianapolis, IN 46229-3035 | 2019-06-21 |
| 1023676178 | Urgent Dental Center South LLC | Dentist | 8925 Madison Ave Ste C, Indianapolis, IN 46227-6257 | 2019-06-04 |
| 1629539697 | Kyle A Harrison | Dentist | 6820 Parkdale Pl Ste 117, Indianapolis, IN 46254-4699 | 2019-03-30 |
| 1659832012 | Renew Dental Arts, LLC | Dentist | 2205 N Delaware St Ste 103, Indianapolis, IN 46205-4363 | 2019-03-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on IMMEDIADENT OF INDIANA, P.C..
| 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.