KOOL SMILES IN-3, PC (NPI# 1750606059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606059 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES IN-3, PC |
| Other Organization Name | PIPPIN DENTAL |
| Practice Address |
1021 W 5th Ave Gary IN 46402-1703 |
| Mailing Address |
400 Galleria Pkwy Se Ste 800 Atlanta GA 30339-6413 |
| Practice Telephone | 8009209947 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DAVID M. VIETH (SECRETARY/TREASURER) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| Pippin Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447559166 | Kool Smiles In-3, PC | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2011-03-21 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1831284439 | Kool Smiles In-3, PC | Dentist | 400 E. Diamond Ave., Evansville, IN 47711-3713 | 2006-10-03 |
| 1699074633 | Kool Smiles In-3, PC | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2011-03-16 |
| 1811190234 | Kool Smiles In-3, PC | Dentist | 8327 Indianapolis Blvd, Highland Bra, IN 46322-1065 | 2007-06-06 |
| Street Address |
1021 W 5TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863972 | Cynthia M Hoess | Pediatrics | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-03-07 |
| 1154934446 | Charmi Solanki | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-08-26 |
| 1326670894 | Betty Nakitende | Pharmacist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-02-12 |
| 1629469234 | Adaobi Ogonuwe | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2015-02-18 |
| 1720218696 | Quinn West | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2009-07-24 |
| 1245301654 | Taryn Yolanda Eastland | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-11-10 |
| 1346346665 | Valerie Jean Royal | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-09-15 |
| 1235246109 | Sonographic Images, Inc | Radiology | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-24 |
| 1043323470 | Bayne W Spotwood | Family Medicine | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-17 |
| 1225141427 | Steve Simpson | Specialist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1023201175 | Radcliffe Family Dental, LLC | Dentist | 1901 Grant Street, Gary, IN 46404-2761 | 2007-08-22 |
| 1356564512 | Wyatt L Smith | Dentist | 5010 Broadway, Gary, IN 46408-4606 | 2007-04-10 |
| 1912030826 | Trinoda G Radcliffe | Dentist | 1901 Grant St, Gary, IN 46404-2761 | 2007-03-13 |
| 1073684247 | Gary Smiles Youth Dentistry, LLC | Dentist | 3506 Village Ct, Gary, IN 46408-1428 | 2006-11-10 |
| 1992887392 | John W Balaban | Dentist | Route 103, Supply St, Gary, WV 24836 | 2006-10-19 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1154934446 | Charmi Solanki | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-08-26 |
| 1669901690 | Hye Sung Kim | Dentist | 1320 Broadway, Gary, IN 46407-1309 | 2017-06-04 |
| Find all providers in GARY | ||||
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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.