DR. JOHN JACOB KUSSMAUL JR. (NPI# 1811011158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811011158 |
| Entity Type | Individual |
| Full Name | DR. JOHN JACOB KUSSMAUL JR. |
| Credential | D.D.S. |
| Practice Address |
934 Richard Rd Dyer IN 46311-1936 |
| Practice Telephone | 2198659790 |
| Practice Fax Number | 2198659792 |
| Mailing Telephone | 2198659790 |
| Mailing Fax Number | 2198659792 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12007811A | IN | Dental Providers |
| Street Address |
934 RICHARD RD |
| City | DYER |
| State | IN |
| Zip Code | 46311-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848715 | Michael John Mintz | Dentist | 934 Richard Rd, Dyer, IN 46311-1936 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848715 | Michael John Mintz | Dentist | 934 Richard Rd, Dyer, IN 46311-1936 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954913 | Adam B Broady Dds Msd & Associates LLC | Dentist | 9002 N Meridian St Ste 201, Indianapolis, IN 46260-5350 | 2020-05-28 |
| 1891322558 | Core Endodontics | Dentist | 2206 State St Ste 100, New Albany, IN 47150-4952 | 2020-03-24 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1356816037 | West Indy Pippin Dental PC | Dentist | 8252 Rockville Rd, Indianapolis, IN 46214-3113 | 2018-10-09 |
| 1992299689 | East Washington Street Dental Indy, In, PC | Dentist | 9972 E Washington St, Indianapolis, IN 46229-3040 | 2018-06-18 |
| 1962940254 | Dcp of Indiana (castleton Square), P.C. | Dentist | 17535 Terry Lee Crossing, 200-b, Noblesville, IN 46060-2476 | 2017-02-07 |
| 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 |
| 1306072814 | Ashleigh Marie Rexford | Dentist | 3750 Guion Rd Ste 280, Indianapolis, IN 46222-1696 | 2009-06-10 |
| 1588810980 | Northside Endodontics, PC | Dentist | 1400 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
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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.