DR. KATHERINE BLAIR BUMGARDNER (NPI# 1528405735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528405735 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE BLAIR BUMGARDNER |
| Credential | DMD, MSD |
| Practice Address |
8101 E Us Highway 36 Ste A Avon IN 46123-8082 |
| Practice Telephone | 3175610090 |
| Practice Fax Number | 3172726994 |
| Mailing Telephone | 3175610090 |
| Mailing Fax Number | 3172726994 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12012042A | IN | Dental Providers |
| Street Address |
8101 E US HIGHWAY 36 STE A |
| City | AVON |
| State | IN |
| Zip Code | 46123-8082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942370093 | Dental Health Associates of Indiana | Dentist | 8101 E Us Highway 36 Ste A, Avon, IN 46123-8082 | 2006-11-08 |
| 1114412806 | Mfdc of Indiana, Inc | Dentist | 8101 E Us Highway 36 Ste A, Avon, IN 46123-8082 | 2018-06-26 |
| 1942379292 | Kirk Mustard | Dentist | 8101 E Us Highway 36 Ste A, Avon, IN 46123-8082 | 2006-11-08 |
| 1104995455 | Brikhna Atmar | Dentist | 8101 E Us Highway 36 Ste A, Avon, IN 46123-8082 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1982968848 | Staci Robinson Allen | Dentist | 44 Dale Rd Ste 305, Avon, CT 06001-4351 | 2012-06-26 |
| 1225209745 | Abha Pandey | Dentist | 110 N State Road 267, Avon, IN 46123-8475 | 2008-03-13 |
| 1922168566 | Jason Christopher Barb | Dentist | 37701 Colorado Avenue, Suite E, Avon, OH 44011 | 2006-12-12 |
| 1447226998 | Kidsmile, Inc. - John M. Venzel, D.m.d. | Dentist | 37701 Colorado Ave, Suite E, Avon, OH 44011-2840 | 2006-02-24 |
| 1801887633 | Ira M Greene | Dentist | 34 Dale Rd, Avon, CT 06001-3659 | 2005-11-01 |
| 1033562210 | Pediatric Dental Center of Avon, LLC | Dentist | 44 Dale Rd Ste 305, Avon, CT 06001-4351 | 2016-07-22 |
| 1992011548 | Kidsmile, Inc. - Jason C. Barb, Dds, Inc. | Dentist | 37701 Colorado Ave, Suite E, Avon, OH 44011-2840 | 2010-08-20 |
| 1598931610 | John Matthew Venzel | Dentist | 37701 Colorado Ave, Suite E, Avon, OH 44011 | 2008-05-08 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.