TANNER LAYNE CRANDALL (NPI# 1730746710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730746710 |
| Entity Type | Individual |
| Full Name | TANNER LAYNE CRANDALL |
| Credential | DDS |
| Practice Address |
7625 S Meridian St Indianapolis IN 46217-4257 |
| Mailing Address |
3840 Churchman Woods Blvd Indianapolis IN 46203-6094 |
| Practice Telephone | 3178818271 |
| Mailing Telephone | 2605153217 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12013136A | IN | Dental Providers |
| Street Address |
7625 S MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46217-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662298 | Robert Keith Rooney | Dentist | 7625 S Meridian St, Indianapolis, IN 46217-4257 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1750789459 | Stephanie Johnson | Specialist/Technologist | 8542 Gallant Fox Dr., Indianapolis, IN 46217 | 2014-12-11 |
| 1336480623 | Lauren Marie Carter | Nurse Practitioner | 8970 S Meridian St., Indianapolis, IN 46217 | 2013-03-12 |
| 1912175662 | Staci L Vanzant | Social Worker | 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 | 2008-02-15 |
| 1568684934 | Lifetime Dental Care of Indiana, PC | Dentist | 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 | 2007-05-03 |
| 1912093659 | Anna Marie Heidenreich | Pharmacist | 8820 S Meridian #105, Indianapolis, IN 46217 | 2006-10-04 |
| 1669955449 | Jason Soultz | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2018-09-08 |
| 1649400896 | Nakeeta Stansberry | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2009-07-22 |
| 1316083652 | Linnea J. Nelson | Family Medicine | 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 | 2007-01-30 |
| Find all providers in zip 46217 | ||||
| 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 | 46217 |
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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.