UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
NPI 1003947599
Dentist - Pediatric Dentistry in Indianapolis, IN

Q: What is University Pediatric Dentistry Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 08, 2007

705 RILEY HOSPITAL DR, ROC - SUITE 4205, INDIANAPOLIS, IN 46202(317) 944-9604(317) 948-0760 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Pediatric Dentistry Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES (NPI 1003947599) is a healthcare organization registered as a pediatric dentistry in Indianapolis, Indiana and active in the NPI registry since March 2007. The organization lists Brian J Sanders, President, as its authorized official.

NPPES Registry Identity

NPI1003947599

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameUNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES

Location Address705 RILEY HOSPITAL DR, ROC - SUITE 4205Indianapolis, IN 46202-5109

Mailing Address705 Riley Hospital Dr, Roc - Suite 4205Indianapolis, IN 46202-5109 · (317) 944-9604 · Fax (317) 948-0760

Phone(317) 944-9604

Fax(317) 948-0760

Organization SubpartNo

Authorized OfficialBrian J SandersPresident · (317) 944-9604

Enumeration DateMarch 8, 2007

Last NPPES UpdateFebruary 19, 2013

✔ NPI 1003947599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 13

Medicaid100087220IN

Medicaid200515490IN

Medicare UPIN1396810149IN

Medicare UPIN1629110259IN

Medicaid100440160IN

Other103337IN · Children Special Health

Medicare UPIN1275560948IN

Medicare UPIN1801959986IN

Medicaid100176300IN

Medicaid100061940IN

Medicaid200331160IN

Other1003587IN · Group Id Priv. Insur

Medicare UPIN1508939802IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 274-4779

TIA IMHOFF MCGEE FNP-BC

Nurse Practitioner (Family)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 312-2204

JOSHUA WAYNE GOLLUB

Pediatrics (Neonatal-Perinatal Medicine)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 274-4779

NOAH MENAKER DDS

Dentist (Pediatric Dentistry)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-3865

DR. ANAS NADER ATA ALJABARI MBBS

Student in an Organized Health Care Education/Training Program

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (856) 398-9630

TALIA RAE BOOHER MB BCH BAO

Student in an Organized Health Care Education/Training Program

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-7571

JANET R SHAVER NP

Nurse Practitioner (Pediatrics)

705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202

Marion County (317) 944-4842

DR. LESLIE ANNE ENANE M.D.

Pediatrics (Pediatric Infectious Diseases)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-7260

DR. KATHRYN HUGGINS DO

Pediatrics

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 777-6435

MISS ANNA MARIE DEITCH MD

Pediatrics (Pediatric Cardiology)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-8906

BLAIR N WELCH MD

Pediatrics (Neonatal-Perinatal Medicine)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 274-4779

REBEKAH H HURST NP-C

Nurse Practitioner (Family)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 274-4779

MILIE FANG DO

Dermatology

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 948-3052

REBECCA ELAINE BAUD CGC

Genetic Counselor, MS

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-5611

AMELIA ANN HERINK CNM

Advanced Practice Midwife

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-8321

PHILIP J FLORY FNP

Nurse Practitioner (Family)

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-2353

KIARA MARIE PATTON DO

Student in an Organized Health Care Education/Training Program

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 446-9822

NICOLE FREY MARTIN MD

Student in an Organized Health Care Education/Training Program

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 446-9822

DR. ELIZABETH M CARLSON

Student in an Organized Health Care Education/Training Program

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-7571

BRUCE H MATT MD

Otolaryngology (Pediatric Otolaryngology)

705 RILEY HOSPITAL DR, SUITE 0860
INDIANAPOLIS, IN 46202

Marion County (317) 944-8620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Pediatric Dentistry Associates's NPI number?

The NPI number for University Pediatric Dentistry Associates is 1003947599. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is University Pediatric Dentistry Associates located?

University Pediatric Dentistry Associates is located at 705 Riley Hospital Dr Roc - Suite 4205, Indianapolis, IN 46202. The listed phone number is (317) 944-9604.

What is University Pediatric Dentistry Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does University Pediatric Dentistry Associates accept?

Health plans from DentaQuest USA Insurance list University Pediatric Dentistry Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Pediatric Dentistry Associates was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.