INDIANA UNIVERSITY (NPI# 1689790552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689790552 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY |
| Other Organization Name | INDIANA UNIVERSITY SCHOOL OF DENTISTRY |
| Practice Address |
1121 W. Michigan Street Ds 307b Indianapolis IN 46202-5186 |
| Practice Telephone | 3172783632 |
| Practice Fax Number | 3172742603 |
| Mailing Telephone | 3172783632 |
| Mailing Fax Number | 3172742603 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-11-05 |
| Authorized Official Name | TINA D FOSTER (BUS. OPERATIONS MGR.) |
| Authorized Official Telephone | 3172783632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100277260 | 05 |
| Other Name | Type Code |
|---|---|
| Indiana University School of Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915817 | Indiana University | General Acute Care Hospital | 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 | 2014-05-27 |
| 1497799787 | Indiana University | Optometrist | 501 Indiana Ave, Suite 100, Indianapolis, IN 46202-3293 | 2006-06-16 |
| 1780022277 | Indiana University | General Acute Care Hospital | 1701 N. Senate Blvd., Ag012, Indiana University Som., Indianapolis, IN 46202 | 2013-06-06 |
| 1912252594 | Indiana University | Internal Medicine | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2012-07-19 |
| 1366706194 | Indiana University | General Acute Care Hospital | 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1932493566 | Indiana University | Psychiatric Hospital | 1120 South Dr, Fesler Hall, Room 224, Indianapolis, IN 46202-5135 | 2011-05-31 |
| 1265690085 | Indiana University | General Acute Care Hospital | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2008-05-29 |
| 1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
| 1639392848 | Indiana University | Optometrist | 501 Indiana Ave, Indianapolis, IN 46202-3293 | 2007-04-10 |
| 1346378643 | Indiana University | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY | 107 S Indiana Avenue, Bloomington, IN 47405-7000 |
| Indiana Business Entities | INDIANA UNIVERSITY ALUMNI ASSOCIATION INC | 1000 E. 17th St., Bloomington, IN 47408 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY BLOOMINGTON | 530 E Kirkwood Ave Ste L03, Bloomington, IN 47408-4003 |
| Indiana Business Entities | INDIANA UNIVERSITY BUILDING CORPORATION | 107 S Indiana Ave, Bryan Hall 212, Bloomington, IN 47405-7000 |
| Indiana Business Entities | INDIANA UNIVERSITY CREDIT UNION | P.o. Box 368, Bloomington, IN 47402 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY EAST | 2325 Chester Blvd, Richmond, IN 47374-1220 |
| Indiana Business Entities | INDIANA UNIVERSITY EYE CARE, INC. | 1160 W. Michigan Street, Gk213, Indianapolis, IN 46202 |
| Indiana Business Entities | INDIANA UNIVERSITY FOOTBALL CAMP, INC. | Memorial Stadium, 1001 W 17th St, Indiana University, Bloomington, IN 47408 |
| Oklahoma Business Registrations | INDIANA UNIVERSITY FOUNDATION, INC. | Po Box 500, Bloomington, IN 47402 |
| Colorado Business Entities | Indiana University Foundation, Inc. | 1500 N. State Road 46 Bypass, Bloomington, IN 47408 |
| Street Address |
1121 W. MICHIGAN STREET DS 307B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669505418 | Katherine Sue Kula | Dentist | 1121 W. Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-03-13 |
| 1437540978 | Heather Taylor | Dental Hygienist | 1121 W. Michigan Street, Room 419, Indianapolis, IN 46202 | 2015-02-05 |
| 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 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY.
| 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.