KB Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KB DENTAL, LLC

Practice address

3750 N Meridian St Ste 200
Indianapolis, IN 46208-4300

Phone

(317) 570-5480

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Samuel Bacon

Title

Partner

Phone

(317) 570-5480

Specialties & licenses 1

Addresses

Other names 1

• Simply Smile Doing business as

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1114351699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082638",
            "telephone_number": "317-570-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 N MERIDIAN ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084300",
            "telephone_number": "317-570-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-570-5480"
    },
    "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": "Simply Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amir Saeed Kazi, M.D.
• Syed Kazmi, DO
• Mary Ann E Kazzi, LCSW
• KB Collection LLC
• KB Dental Group III, LLC
• KC Mental Health Counseling, LLC
• Kci USA Inc.
• Amanda F Keafer, NP
• Sarah Mae Keaffaber, DPT
• Adam C Kean, M.D.

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 Sep 3, 2013; 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.