Dental Services of Indiana, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL SERVICES OF INDIANA, P.C.

Doing business as

ImmediaDent

Practice address

532 East 81St Avenue
Merrillville, IN 46410

Phone

(913) 428-1686

Fax

(913) 752-9116

NPI assigned

Aug 18, 2017

Organization subpart

Yes

Parent organization

DENTAL SERVICES OF INDIANA, P.C.As reported in NPPES

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

Authorized official

Name

Monica L Long

Title

Manager of Provider Credentialing

Phone

(913) 428-1686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ImmediaDent Doing business as

Tax ID family

Dental Services of Indiana PC4 organizations share this tax ID, including this one

Part of

Dental Services of Indiana PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Services of Indiana, P.C.

  dba ImmediaDent

  • Dentist
  • Schererville, IN
  • NPI 1669908885
  NPD tax ID
• Dental Services of Indiana, P.C.

  dba ImmediaDent

  • Dentist
  • Schererville, IN
  • NPI 1760913958
  NPD tax ID
• Dental Services of Indiana, P.C.

  dba ImmediaDent

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1982135174
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dental Services of Indiana, P.C.

  dba ImmediaDent

  • Dentist
  • Schererville, IN
  • NPI 1669908885
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramez Magdy Saweres, DMD

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1861921454
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1144746314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11568",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074268",
            "telephone_number": "913-428-1686",
            "fax_number": "913-752-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 EAST 81ST AVENUE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "913-428-1686",
            "fax_number": "913-752-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF INDIANA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL SERVICES OF INDIANA, P.C.",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OF PROVIDER CREDENTIALING",
        "authorized_official_telephone_number": "913-428-1686"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImmediaDent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Kristine Deluna, RBT
• Sandra Demos Kelley, LCPC
• Shannon Dempsey
• Dental Center (Merrillville) P.C.
• Dental Professionals of Indiana, P.C. (Family Dental Care)
• Amy Denton
• David Martin Derengowski
• Dermatology Associates of Northwest Indiana, PC
• Deschamps Eye Care PC
• Eldi E Deschamps, MD

• Dentist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.