SECURE DENTAL IX LLC (NPI# 1932672052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932672052 |
| Entity Type | Organization |
| Organization Name | SECURE DENTAL IX LLC |
| Practice Address |
2381 E 80th Ave Merrillville IN 46410-5722 |
| Mailing Address |
502 Riverside Dr East Peoria IL 61611-2068 |
| Practice Telephone | 3096065008 |
| Mailing Telephone | 3096065008 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | NAZISH HASAN JAFRI (DENTIST OWNER) |
| Authorized Official Telephone | 3096065008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2381 E 80TH AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1245725340 | Christopher Lukasik | Dentist | 55 E 86th Ave Ste C, Merrillville, IN 46410-6265 | 2018-06-30 |
| 1396267357 | Trent Allan Jones | Dentist | 6 W Lincoln Hwy, Merrillville, IN 46410 | 2017-07-12 |
| 1861921454 | Ramez Magdy Saweres | Dentist | 532 E 81st Ave, Merrillville, IN 46410-5599 | 2017-06-07 |
| 1669825832 | Timothy John Kamp | Dentist | 303 W 89th Ave Ste E2, Merrillville, IN 46410-6295 | 2016-07-22 |
| 1134489198 | Chris David Kutanovski | Dentist | 9205 Broadway Ste A, Merrillville, IN 46410-7061 | 2012-05-24 |
| 1548549439 | Igor Ristevski | Dentist | 233 E. 84th Drive, Suite 106, Merrillville, IN 46410-6465 | 2011-08-09 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| 1619191657 | Jill Halcarz | Dentist | 1000 E 80th Pl Ste 523, Merrillville, IN 46410-5608 | 2007-04-12 |
| 1407079320 | Hugh P Seller | Dentist | 105 W 78th Pl, Merrillville, IN 46410-5468 | 2007-04-10 |
| 1437287729 | Michael Hyukki Min | Dentist | 1410 E 85th Ave, Merrillville, IN 46410-8905 | 2007-03-01 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on SECURE DENTAL IX LLC.
| 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.