DR. BEVERLY JEAN LEDDY (NPI# 1275665432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275665432 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY JEAN LEDDY |
| Credential | D.D.S., M.S.D. |
| Practice Address |
9002 N Meridian St Suite 201 Indianapolis IN 46260-5381 |
| Practice Telephone | 3178464980 |
| Practice Fax Number | 3178464982 |
| Mailing Telephone | 3178464980 |
| Mailing Fax Number | 3178464982 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12009593 | IN | Dental Providers |
| Street Address |
9002 N MERIDIAN ST SUITE 201 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741393 | Randall Strate | Family Medicine | 9002 N Meridian St, Ste 107, Indianapolis, IN 46260-5349 | 2005-06-23 |
| 1447602917 | Dr. Sarah Small | Clinical Neuropsychologist | 9002 N Meridian St, Suite 200, Indianapolis, IN 46260-5381 | 2016-07-08 |
| 1295104883 | Jane B Parker Crna LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Indianapolis, IN 46260-5381 | 2015-09-24 |
| 1659775740 | Ivan Legoas Crna, LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 | 2014-10-17 |
| 1194131979 | Meridian Adult Health PC | Nurse Practitioner | 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 | 2014-07-01 |
| 1720405616 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 9002 N Meridian St, Suite 214, Indianapolis, IN 46260-5381 | 2014-03-28 |
| 1811327299 | American Health Network of Indiana, LLC | Clinical Medical Laboratory | 9002 N Meridian St, Suite 214a, Indianapolis, IN 46260-5381 | 2013-11-20 |
| 1316389596 | Jennifer Macke Johnson | Pharmacist | 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 | 2013-07-29 |
| 1659716769 | Stephanie Lynn Levin | Audiologist-Hearing Aid Fitter | 9002 N Meridian St, Suite 204, Indianapolis, IN 46260-5381 | 2013-05-02 |
| 1164768024 | Roberta Elaine Hull | Pharmacist | 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954913 | Adam B Broady Dds Msd & Associates LLC | Dentist | 9002 N Meridian St Ste 201, Indianapolis, IN 46260-5350 | 2020-05-28 |
| 1356816037 | West Indy Pippin Dental PC | Dentist | 8252 Rockville Rd, Indianapolis, IN 46214-3113 | 2018-10-09 |
| 1992299689 | East Washington Street Dental Indy, In, PC | Dentist | 9972 E Washington St, Indianapolis, IN 46229-3040 | 2018-06-18 |
| 1306072814 | Ashleigh Marie Rexford | Dentist | 3750 Guion Rd Ste 280, Indianapolis, IN 46222-1696 | 2009-06-10 |
| 1609081686 | Fadi S. Saloum | Dentist | 135 N Shortridge Rd Ste B3, Indianapolis, IN 46219-8905 | 2007-05-11 |
| 1629110259 | Joseph James Legan | Dentist | 1121 West Michigan St Rm 302, Indiana University School of Dentistry, Indianapolis, IN 46202 | 2007-02-12 |
| 1083773303 | Charles Foulke Hine | Dentist | 5701 Autumn Breeze Ct, Indianapolis, IN 46237-9412 | 2006-12-06 |
| 1417023235 | Edmund Leo Rapp | Dentist | 8937 Southpointe Dr Ste A2, Indianapolis, IN 46227-1087 | 2006-11-24 |
| 1477630556 | Kool Smiles Ini-1, PC | Dentist | 3658 S East St, Indianapolis, IN 46227-1239 | 2006-11-01 |
| 1881778801 | East 53rd Street Dental-2, P.C. | Dentist | 2248 E 53rd St, Indianapolis, IN 46220-3479 | 2006-10-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.