GARY L LLEWELLYN DDS LLC
NPI 1477979300
Durable Medical Equipment & Medical Supplies - Customized Equipment in Indianapolis, IN

Active since March 17, 2014
6211 W 30TH ST, G, INDIANAPOLIS, IN 46224(317) 291-7550(317) 291-1746 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About GARY L LLEWELLYN DDS LLC

This page provides the complete NPI Profile along with additional information for Gary L Llewellyn Dds Llc, a provider established in Indianapolis, Indiana operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1477979300 assigned on March 2014. The practitioner's primary taxonomy code is 332BC3200X with license number 12008920 (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Gary L Llewellyn Dds (Owner)

NPI
1477979300 Verify this NPI
Provider Name
GARY L LLEWELLYN DDS LLC
Entity Type
Organization
Location Address
6211 W 30TH ST G INDIANAPOLIS, IN 46224
Location Phone
(317) 291-7550
Location Fax
(317) 291-1746
Mailing Address
6211 W 30TH ST STE G INDIANAPOLIS, IN 46224
Mailing Phone
(317) 291-7550
Mailing Fax
(317) 291-1746
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2014
Last Update Date
04-23-2014
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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

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers
License No.
12008920
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GARY L LLEWELLYN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(317) 291-7550

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12008920OTHER (01)INDDS

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
6211 W 30TH ST, SUITE D
INDIANAPOLIS, IN 46224
Dentist (General Practice)
6211 W 30TH ST, SUITE G
INDIANAPOLIS, IN 46224
Dentist (General Practice)
6211 W 30TH ST, SUITE G
INDIANAPOLIS, IN 46224
Dentist (Pediatric Dentistry)
6211 W 30TH ST
INDIANAPOLIS, IN 46224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477979300, enumerated as an "organization" on March 17, 2014.

The provider is located at 6211 W 30TH ST G INDIANAPOLIS, IN 46224 and the phone number is (317) 291-7550.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.