CENTRAL INDIANA PERIODONTICS, PC – NPI #1831359470
Clinic/Center

CENTRAL INDIANA PERIODONTICS, PC is an AHC clinic located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1831359470 to CENTRAL INDIANA PERIODONTICS, PC on June 16, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 9 years ago on May 01, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL INDIANA PERIODONTICS, PC below.

NPI Profile for
CENTRAL INDIANA PERIODONTICS, PC

NPI Number
1831359470
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL INDIANA PERIODONTICS, PC
Primary location
8235 COUNTRY VILLAGE DR
INDIANAPOLIS, IN 46214
Phone: (317) 299-4731 Fax: (317) 329-5054
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL GOMES
OWNER
Phone: (317) 299-4731
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 IN 12010704A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.