INDIANAPOLIS DENTAL CARE LLC (NPI# 1922446129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922446129 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS DENTAL CARE LLC |
| Practice Address |
5550 S East St Building B, Suite A Indianapolis IN 46227-1979 |
| Practice Telephone | 3175138669 |
| Mailing Telephone | 3175138669 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | DR. WHITNEY MONET MOORE (OWNER) |
| Authorized Official Telephone | 3175138669 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANAPOLIS DENTAL CARE LLC | 5550 South East Street, Building B, Indianapolis, IN 46227 |
| Street Address |
5550 S EAST ST BUILDING B, SUITE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375335 | Jane Ellen Wilson | Pediatrics | 5550 S East St, Ste.i, Indianapolis, IN 46227-1979 | 2005-06-09 |
| 1881061059 | Windrose Health Network, Inc. | Clinic/Center | 5550 S East St, Indianapolis, IN 46227-1979 | 2015-08-24 |
| 1093194805 | Activate Healthcare - Local 440 Clinic | Clinic/Center | 5550 S East St, Bldg. B, Ste. B, Indianapolis, IN 46227-1979 | 2015-05-26 |
| 1184063331 | Ryan Keith Alexander | Family Medicine | 5550 S East St, Suite I, Indianapolis, IN 46227-1979 | 2013-06-20 |
| 1922367309 | Matthew Walter Wolenski | Family Medicine | 5550 S East St, Suite I, Indianapolis, IN 46227-1979 | 2012-05-07 |
| 1316218571 | Nathanial R Chumley | Family Medicine | 5550 S East St, Ste I, Indianapolis, IN 46227-1991 | 2012-01-19 |
| 1861660086 | World Harvest Dental, Inc. | Dentist | 5550 S East St, Suite A, Indianapolis, IN 46227-1979 | 2008-02-11 |
| 1700988847 | Christopher S Leonard | Dentist | 5550 S East St, Ste A, Indianapolis, IN 46227 | 2006-09-01 |
| 1225046089 | Blaine Y Takesue | Emergency Medicine | 5550 S East St, Ste I, Indianapolis, IN 46227-1991 | 2006-08-04 |
| 1952319113 | Vistacare Usa, LLC | Hospice Care, Community Based | 5550 S East St, Suite A, Indianapolis, IN 46227-1979 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 | 46227 |
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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.