Everest Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12012466A Issued in IN

Legal business name

EVEREST DENTAL LLC

Practice address

6326 Rucker Rd Ste B
Indianapolis, IN 46220-4861

Phone

(812) 322-5587

NPI assigned

Aug 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Abram Samuel Hess, DDS

Title

Dentist

Phone

(812) 322-5587

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1306364252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COTTAGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462032707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 RUCKER RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204861",
            "telephone_number": "812-322-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-322-5587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12012466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.