OrganizationActive
Indy East Periodontics PC
NPI 1164726832 · Periodontics · Indianapolis, IN
Indy East Periodontics PC is a Periodontics organization in Indianapolis, IN (NPI 1164726832).
Provider details
- NPI number
- 1164726832
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Koehler, Periodontist(317) 357-2235
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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.
Practice location
115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917
Phone: (317) 357-2235
Fax: (317) 357-2210
Street-level locationGet directions
Mailing address
115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-01-10
Frequently asked questions
- What is Indy East Periodontics PC's NPI number?
- Indy East Periodontics PC's National Provider Identifier (NPI) is 1164726832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indy East Periodontics PC?
- Indy East Periodontics PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Indy East Periodontics PC located?
- Indy East Periodontics PC's practice location on file with NPPES is 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917.
- What is Indy East Periodontics PC's phone number?
- The practice phone number listed in the NPPES registry for Indy East Periodontics PC is (317) 357-2235.
- Who is the authorized official for Indy East Periodontics PC?
- The authorized official listed on Indy East Periodontics PC's NPPES record is Stephen Koehler, Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indy East Periodontics PC's NPI active?
- Yes — Indy East Periodontics PC's NPI (1164726832) is active in the NPPES registry as of the last update on 2011-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.