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DR J PEDIATRIC DENTISTRY LLC
NPI 1629522289
Clinic/Center - Dental in Indianapolis, IN

Active since August 11, 2016
10820 PENDLETON PIKE STE B, INDIANAPOLIS, IN 46236(317) 938-1181 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr J Pediatric Dentistry Llc NPPES

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

DR J PEDIATRIC DENTISTRY LLC (NPI 1629522289) is a healthcare organization registered as a dental in Indianapolis, Indiana and active in the NPI registry since August 2016. The organization lists Juan Fernando Yepes, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1629522289
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR J PEDIATRIC DENTISTRY LLC
Location Address10820 PENDLETON PIKE STE BIndianapolis, IN 46236-2952
Mailing Address10820 Pendleton Pike Ste BIndianapolis, IN 46236-2952 · (317) 938-1181
Phone(317) 938-1181
Organization SubpartNo
Authorized OfficialJuan Fernando YepesPediatric Dentist · (317) 938-1181
Enumeration DateAugust 11, 2016
✔ NPI 1629522289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IN · 12012166A
10820 PENDLETON PIKE STE B, Indianapolis, IN 46236
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Other Identifiers 1

Medicaid60003191IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

HOOSIER DENTAL IN LLC
Clinic/Center (Dental)
10820 PENDLETON PIKE STE B
INDIANAPOLIS, IN 46236
Marion County (317) 597-0184
DR. JOSHUA MATHEW MATAM DDS
Dentist (Pediatric Dentistry)
10820 PENDLETON PIKE STE B
INDIANAPOLIS, IN 46236
Marion County (317) 597-0184

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 Dr J Pediatric Dentistry LLC's NPI number?

The NPI number for Dr J Pediatric Dentistry LLC is 1629522289. It was assigned to this organization in the NPPES registry on August 11, 2016.

Where is Dr J Pediatric Dentistry LLC located?

Dr J Pediatric Dentistry LLC is located at 10820 Pendleton Pike Ste B, Indianapolis, IN 46236. The listed phone number is (317) 938-1181.

What is Dr J Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Dr J Pediatric Dentistry LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Dr J Pediatric Dentistry LLC 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 Dr J Pediatric Dentistry LLC was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.