Anderson Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010787A Issued in IN

Legal business name

ANDERSON PEDIATRIC DENTISTRY

Practice address

502 E 8TH St
Anderson, IN 46012-4017

Phone

(765) 642-3263

NPI assigned

Jun 9, 2011

Last updated

Sep 25, 2014By 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. Nassim Fayez Olabi, DDS, MSDNPI 1568558393

Title

Owner/Pediatric Dentist

Phone

(765) 642-3263

Specialties & licenses 1

Addresses

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.

• Nassim Fayez Olabi, D.D.S, MSD

  • Pediatric Dentistry
  • Anderson, IN
  • NPI 1568558393
  NPD (past) Authorized official
• Gary Joseph Hinz, D.D.S.

  • Pediatric Dentistry
  • Anderson, IN
  • NPI 1598983025
  NPD (past)

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1104110923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124017",
            "telephone_number": "765-642-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "OLABI",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_middle_name": "FAYEZ",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "765-642-3263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010787A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Integrative Health Center Inc
• Anderson Laser Eye Center
• Anderson Optical, Inc
• Anderson Oral and Maxillofacial Surgery (AOMS,llc)
• Anderson Pathologists Inc. PC
• Anderson Post Acute, LLC (Providence Anderson)
• Anderson Psychiatric Clinic LLC
• Anderson Urologic Associates, P.C.
• Anderson Westend Dental LLC
• Celia Anderson

• Pediatric Dentistry in Anderson, IN
• Providers in Anderson, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.