Fahad Javed, DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010782 Issued in IN

Legal business name

FAHAD JAVED, DDS LLC

Practice address

7255 N Keystone Ave Ste B
Indianapolis, IN 46240-3297

Phone

(317) 537-7691

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fahad Javed, DDS

Title

Owner

Phone

(317) 537-7691

Specialties & licenses 1

Addresses

Other names 1

• Keystone Dental Group Doing business as

Locations

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1215345582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 N KEYSTONE AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403297",
            "telephone_number": "317-537-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 N KEYSTONE AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403297",
            "telephone_number": "317-537-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHAD JAVED, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-537-7691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Fagan, MD
• Tiffany Simone Fagan, LMHC, BCBA
• Michael Soledayo Fagbamiye, CEO
• Toyosi Fagbemi, FNP-BC
• Keri Beth Fagg, SPEECH LANGUAGE PATH
• Usama Lotfy Fahmy, MD
• Brittany Fahringer, DO
• April J Faidley, PHD, HSPP
• Briana Failinger
• David Failinger

• 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 Jul 30, 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.