S. Indiana Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

S. INDIANA ORAL SURGERY, P.C.

Practice address

1316 Duncan Ave
Jeffersonville, IN 47130-3723

Phone

(812) 282-8467

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan Swope, MD,DMDNPI 1831464148

Title

Owner

Phone

(402) 968-9645

Specialties & licenses 1

Addresses

Other names 1

• Southern Indiana Oral Surgery Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan James Swope, DMD,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jeffersonville, IN
  • NPI 1831464148
  NPD Authorized official
• Charles Kemper, M.P.C.

  • Allergy & Immunology Physician
  • Jeffersonville, IN
  • NPI 1326005547
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1003561325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 DUNCAN AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 DUNCAN AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303723",
            "telephone_number": "812-282-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. INDIANA ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SWOPE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-968-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristina Russ
• Lydia Joy Rutherford
• Rebecca Rutkowski
• Elizabeth Suzanne Ryan
• Jeremy Ryan, PTA
• S. Meredith Johnson, Jr., D.M.D. PC
• Sabra Indiana Operations IV, LLC
• Sabra Indiana Operations IV, LLC
• Joan Saltz, STUDENT HID
• Kelly Saltzgaber

• Oral and Maxillofacial Surgery (Dentist) in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.