What is Immediadent of Indiana, P.C.'s NPI number?

Immediadent of Indiana, P.C.'s National Provider Identifier (NPI) is 1063560555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Immediadent of Indiana, P.C.?

Immediadent of Indiana, P.C. is classified in the NPPES registry as Dentist (Dental Providers).

Where is Immediadent of Indiana, P.C. located?

Immediadent of Indiana, P.C.'s practice location on file with NPPES is 3269 W. 86th Street, Indianapolis, IN 46268-3822.

What is Immediadent of Indiana, P.C.'s phone number?

The practice phone number listed in the NPPES registry for Immediadent of Indiana, P.C. is (317) 542-3440.

Who is the authorized official for Immediadent of Indiana, P.C.?

The authorized official listed on Immediadent of Indiana, P.C.'s NPPES record is Amy Wheeler, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Immediadent of Indiana, P.C.'s NPI active?

Yes — Immediadent of Indiana, P.C.'s NPI (1063560555) is active in the NPPES registry as of the last update on 2017-04-12.

OrganizationActive

Immediadent of Indiana, P.C.

NPI 1063560555 · Dentist · Indianapolis, IN

Immediadent of Indiana, P.C. is a Dentist organization in Indianapolis, IN (NPI 1063560555).

Provider details

NPI number: 1063560555
Entity type: Organization
Primary specialty: DentistDental Providers
Parent organization: Immediadent of Indiana, P.C.
Organization subpart: Yes
Authorized official: Amy Wheeler, Credentialing Coordinator(913) 800-6952

Practice location

3269 W. 86th Street

Suite A-2

Indianapolis, IN 46268-3822

Phone: (317) 542-3440

Fax: (913) 800-6967

Street-level locationGet directions

Mailing address

Po Box 11568

Overland Park, KS 66207-4268

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers

Other names (DBA / former)

Doing business as: Immediadent

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-01-08
Last updated: 2017-04-12

Frequently asked questions

What is Immediadent of Indiana, P.C.'s NPI number?: Immediadent of Indiana, P.C.'s National Provider Identifier (NPI) is 1063560555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Immediadent of Indiana, P.C.?: Immediadent of Indiana, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
Where is Immediadent of Indiana, P.C. located?: Immediadent of Indiana, P.C.'s practice location on file with NPPES is 3269 W. 86th Street, Indianapolis, IN 46268-3822.
What is Immediadent of Indiana, P.C.'s phone number?: The practice phone number listed in the NPPES registry for Immediadent of Indiana, P.C. is (317) 542-3440.
Who is the authorized official for Immediadent of Indiana, P.C.?: The authorized official listed on Immediadent of Indiana, P.C.'s NPPES record is Amy Wheeler, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Immediadent of Indiana, P.C.'s NPI active?: Yes — Immediadent of Indiana, P.C.'s NPI (1063560555) is active in the NPPES registry as of the last update on 2017-04-12.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions