DR J PEDIATRIC DENTISTRY LLC (NPI# 1629522289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629522289 |
| Entity Type | Organization |
| Organization Name | DR J PEDIATRIC DENTISTRY LLC |
| Practice Address |
10820 Pendleton Pike Ste B Indianapolis IN 46236-2952 |
| Practice Telephone | 3179381181 |
| Mailing Telephone | 3179381181 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | JUAN FERNANDO YEPES (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 3179381181 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12012166A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 60003191 | 05 |
| Street Address |
10820 PENDLETON PIKE STE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-2952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| 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 | 46236 |
Please comment or provide details below to improve the information on DR J PEDIATRIC DENTISTRY LLC.
| 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.