Secure Dental VII

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SECURE DENTAL VII

Practice address

6129 US Highway 6
Portage, IN 46368-5058

Phone

(309) 681-8888

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Nazish Jafri, DDS

Title

Dentist

Phone

(309) 681-8888

Specialties & licenses 1

Addresses

Other names 1

• Secure Dental Portage Doing business as

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1093281149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVERSIDE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112068",
            "telephone_number": "309-681-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 US HIGHWAY 6",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685058",
            "telephone_number": "309-681-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DENTAL VII",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "309-681-8888",
        "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": [
        {
            "organization_name": "Secure Dental Portage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne B Schramm, NP
• Sarina Schreiber
• Joel Schwartz, PH.D.
• Leslie Michelle Scott, RDH OMT
• Joyce Scully
• Select Medical Rehabilitation Clinics Inc
• Faizuddin Shareef, D.O
• Ashhad Sharif
• Emily C Shelton, CADC, CRSS
• Ashvin O Sheth, MSW

• General Practice Dentistry in Portage, IN
• Providers in Portage, 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 Oct 16, 2018; 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.