Optim Dental -1 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OPTIM DENTAL -1 LLC

Practice address

3353 S US Highway 41 Unit 3369
Terre Haute, IN 47802-3727

Phone

(812) 777-8777

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Srinivas Durshanapalli, DDS

Title

President

Phone

(217) 303-5955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1053852202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 S US HIGHWAY 41 UNIT 3369",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023727",
            "telephone_number": "812-777-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 S US HIGHWAY 41 UNIT 3369",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023727",
            "telephone_number": "812-777-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIM DENTAL -1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "DURSHANAPALLI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-303-5955",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ogibovic
• Tochi Ohale, PHARMD
• Meghan Marie Olds
• Jacob Thomas Olekszyk
• Michael Jonas Onken, BS
• Josue Diaz Ordaz, MD
• Orkin Pest Control
• Andrew Joseph Orman, D.D.S
• Richelle Orman, D.D.S.
• Thomas F Orman, MD

• General Practice Dentistry in Terre Haute, IN
• Providers in Terre Haute, 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 Mar 20, 2017; 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.