West 38TH Dental, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

12010747A Issued in IN

Legal business name

WEST 38TH DENTAL, LTD

Practice address

3808 N Lawndale Ave
Indianapolis, IN 46254-2814

Phone

(317) 297-4502

Fax

(317) 297-4554

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sung H Kong, DDS

Title

Owner

Phone

(317) 297-4502

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Sung Kyung Kim, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1740842129
  NPD (past)
• Janet Anne Pole, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1174639538
  NPD (past)
• Lloyd Michael Stropes, DDS,MSD

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1255409090
  NPD (past)
• Farah Haroon, D.D.S.

  • Periodontics
  • Upland, CA
  • NPI 1740693738

  Dentist

  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1245649052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N LAWNDALE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542814",
            "telephone_number": "317-297-4502",
            "fax_number": "317-297-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N LAWNDALE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542814",
            "telephone_number": "317-297-4502",
            "fax_number": "317-297-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 38TH DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-297-4502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010747A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Roney Wessel, M.D.
• Natasha Wessells
• Allison Anne Wessels, RBT 16-17147
• Troy Wesson
• West 10TH Dental Group, Professional Corporation
• West Indy Pippin Dental PC
• West Morris Street Chiropractic Clinic Inc
• Andrea Beatrice West, PA
• Andrew West, MD
• Anne West

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.