FAMILIA DENTAL EC LLC (NPI# 1992116305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992116305 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL EC LLC |
| Practice Address |
4624a Magoun Avenue East Chicago IN 46312 |
| Mailing Address |
2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474967603 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474967603 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | DR. KOUSHAN AZAD (PRESIDENT) |
| Authorized Official Telephone | 8889884066 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4624A MAGOUN AVENUE |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| 1043375934 | Chikare Health Services Inc | Clinic/Center | 915 W Chicago Ave, East Chicago, IN 46312 | 2006-12-22 |
| Find all providers in zip 46312 | ||||
| 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 |
|---|---|---|---|---|
| 1275831059 | Amit Saparia Dds Inc. | Dentist | 814 W Chicago Ave, East Chicago, IN 46312-3307 | 2011-03-03 |
| 1811088636 | Eugene Keith Boone | Dentist | 3616 Elm St, East Chicago, IN 46312-2270 | 2006-09-27 |
| 1518349497 | Firas Adhami | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHICAGO |
| Zip Code | 46312 |
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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.