Organization Active NPI

The Ivory Dental Studio

  • General Practice Dentistry
  • Schererville, IN
National Provider Identifier
1326725813
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE IVORY DENTAL STUDIO
Practice address
1906 US Highway 41
Suite a
Schererville, IN 46375
Phone
(219) 554-8679
Fax
(219) 554-8679
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Brittney Ann Jasek, DMDNPI 1477903813
Title
Member / General Dentist
Phone
(224) 234-9304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1906 US Highway 41
Suite a
Schererville, IN 46375

Mailing address

1114 Barrington CT
Schererville, IN 46375-1388
Phone (224) 234-9304

National Provider Directory

National Provider Directory

Locations

1906 US Highway 41
Ste A
Schererville, IN 46375
Phone (219) 554-8679

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1326725813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BARRINGTON CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751388",
            "telephone_number": "224-234-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 US HIGHWAY 41",
            "address_2": "SUITE A",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-554-8679",
            "fax_number": "219-554-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IVORY DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "JASEK",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER / GENERAL DENTIST",
        "authorized_official_telephone_number": "224-234-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.