COSMOPOLITAN DENTISTRY (NPI# 1750450052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750450052 |
Entity Type | Organization |
Organization Name | COSMOPOLITAN DENTISTRY |
Practice Address |
225 Aberdeen Dr Suite E Valparaiso IN 46385-7762 |
Practice Telephone | 2195482322 |
Practice Fax Number | 3125770841 |
Mailing Telephone | 2195482322 |
Mailing Fax Number | 3125770841 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. LUIS L CUELLAR (PRESIDENT) |
Authorized Official Telephone | 2195482322 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12008232A | IN | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | COSMOPOLITAN DENTISTRY, P.C. | 225 Aberdeen Drive, Suite E, Valparasio, IN 46385 |
Street Address |
225 ABERDEEN DR SUITE E |
City | VALPARAISO |
State | IN |
Zip Code | 46385-7762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
Find all providers in zip 46385 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538585617 | Matthew Hearn | Clinic/Center | 2009 Roosevelt Rd, Suite B, Valparaiso, IN 46383-3765 | 2014-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
1992315980 | Kaszuba Dental, LLC | Clinic/Center | 1934 45th St, Munster, IN 46321-3917 | 2020-08-04 |
1205454014 | Advanced Dental Care of Fortville, LLC | Clinic/Center | 545 Vitality Dr Ste F, Fortville, IN 46040-1373 | 2020-07-08 |
1366066375 | Jindal Management LLC | Clinic/Center | 701 N Weinbach Ave Ste 910, Evansville, IN 47711-6607 | 2020-06-05 |
Find all providers with the same taxonomy |
City | VALPARAISO |
Zip Code | 46385 |
Please comment or provide details below to improve the information on COSMOPOLITAN DENTISTRY.
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.