Organization Active NPI

Aspire Oms, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Valparaiso, IN
National Provider Identifier
1013642107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ASPIRE OMS, LLC
Practice address
911 Wall St Ste C
Valparaiso, IN 46383-2553
Phone
(219) 462-9599
Fax
(219) 464-0369
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cheryl Dorris
Title
Insurance Coordinator
Phone
(219) 462-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

911 Wall St Ste C
Valparaiso, IN 46383-2553

Mailing address

61 W 86TH Ave
Merrillville, IN 46410-7098
Phone (219) 736-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221219001656 IN Part B Supplier - Clinic/Group Practice 7315316015 Receives reassigned benefits from 4 practitioners
Practice locations: Valparaiso, IN; Merrillville, IN; Michigan City, IN

National Provider Directory

National Provider Directory

Locations

8807 W 400 N
Michigan City, IN 46360
Phone (219) 736-1401

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013642107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107098",
            "telephone_number": "219-736-1401",
            "fax_number": "219-736-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WALL ST STE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832553",
            "telephone_number": "219-462-9599",
            "fax_number": "219-464-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE OMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "219-462-9599"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.