West Side LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009311 Issued in IN

Legal business name

WEST SIDE LLC

Doing business as

Klondike Dental Care

Practice address

3412 Klondike Rd
West Lafayette Bra, IN 47906-5218

Phone

(765) 463-6726

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

John Piperis James, DDSNPI 1538271291

Title

President

Phone

(765) 463-6726

Specialties & licenses 1

Addresses

Other names 1

• Klondike Dental Care Doing business as

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.

• John Piperis James, DDS

  • General Practice Dentistry
  • West Lafayette Bra, IN
  • NPI 1538271291
  NPD (past) Authorized official
• Christy Lanjie Chen, DDS

  • Dentist
  • Lafayette, IN
  • NPI 1386173862
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003928789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 KLONDIKE RD",
            "city": "WEST LAFAYETTE BRA",
            "state": "IN",
            "postal_code": "479065218",
            "telephone_number": "765-463-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 KLONDIKE RD",
            "city": "WEST LAFAYETTE BRA",
            "state": "IN",
            "postal_code": "479065218",
            "telephone_number": "765-463-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PIPERIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-463-6726",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klondike Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifford Henrik Swensen Jr., PH.D.
• Thomas B. McHenry PC
• Sharlyn Tolentino, P.T
• Wal-Mart Stores East, LP (Vision Center 30-2339)
• John L Wells, D.D.S.
• Jessica Leigh Zuercher, ATC, DPT

• General Practice Dentistry in West Lafayette Bra, IN
• Providers in West Lafayette Bra, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.