INDY DENTAL HEALTH-SHELBYVILLE
NPI 1184294837
Clinic/Center - Dental in Shelbyville, IN
NPI Status: Active since June 25, 2021
Contact Information
122 LEE BLVD
SHELBYVILLE, IN
ZIP 46176
Phone: (317) 398-6399
Fax: (317) 398-6362
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 15D2144306
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About INDY DENTAL HEALTH-SHELBYVILLE
This page provides the complete NPI Profile along with additional information for Indy Dental Health-shelbyville, a provider established in Shelbyville, Indiana operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1184294837 assigned on June 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Shelbyville Dental. The authorized official of this NPI record is Matthew Fraiz Dmd (Dentist-owner)
- NPI
- 1184294837
- Provider Legal Name
- INDY DENTAL HEALTH-SHELBYVILLE
- Other Organization Name
- SHELBYVILLE DENTAL
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 122 LEE BLVD SHELBYVILLE, IN 46176
- Location Phone
- (317) 398-6399
- Location Fax
- (317) 398-6362
- Mailing Address
- 9333 N MERIDIAN ST STE 225 INDIANAPOLIS, IN 46260
- Mailing Phone
- (317) 872-3465
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2021
- Last Update Date
- 06-25-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- DentaQuest EPO Pediatric High - EPO
- DentaQuest EPO Family Basic - EPO
- DentaQuest EPO Family High - EPO
- DentaQuest EPO Family Low - EPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2144306
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 14, 2018
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- CHOI EUNA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Indy Dental Health-shelbyville on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184294837, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184294837, enumerated as an "organization" on June 25, 2021.
The provider is located at 122 LEE BLVD SHELBYVILLE, IN 46176 and the phone number is (317) 398-6399.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
