Indigo Pediatric Dentistry
Indigo Pediatric Dentistry is a healthcare organization registered as Pediatric Dentistry in Easley, SC, holding Type 2 (organization) NPI 1174082713 since 2019. The authorized official on file is Rula Shalabi, Owner, Pediatric Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174082713 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Indigo Pediatric Dentistry |
| Practice address | 1026 POWDERSVILLE RD STE A, Easley, SC, 29642 |
| Phone | 8644426770 |
| Fax | 8644426830 |
| Enumeration date | 2019-03-13 |
| Last updated in NPPES | 2025-11-05 |
Authorized official
| Name | Rula Shalabi |
|---|---|
| Title | Owner, Pediatric Dentist |
| Phone | 8644426770 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA8955 | Medicaid | SC | — |
| 1609282425 | Other | SC | NPI |
| ZX8355 | Medicaid | SC | — |
Copy-ready billing details
Provider: Indigo Pediatric Dentistry NPI: 1174082713 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 1026 POWDERSVILLE RD STE A, Easley, SC, 29642
Verify this record
Cross-check NPI 1174082713 against the authoritative CMS record: view Indigo Pediatric Dentistry on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Indigo Pediatric Dentistry located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-05.