Organization Active NPI

Munster Dentistry LLC

  • Dental Clinic/Center
  • Munster, IN
National Provider Identifier
1326818667
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MUNSTER DENTISTRY LLC
Doing business as
Archer Dentistry Munster
Practice address
310 Ridge Rd
Munster, IN 46321-1528
Phone
(630) 835-0545
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Rahul Jadhav
Title
Owner
Phone
(630) 247-7216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

310 Ridge Rd
Munster, IN 46321-1528

Mailing address

1S132 Summit Ave Ste 102
Oakbrook Terrace, IL 60181-3931
Phone (630) 247-7216

Other names 1

  • Archer Dentistry Munster Doing business as

National Provider Directory

National Provider Directory

Locations

310 Ridge Rd
Munster, IN 46321
Phone (219) 836-8200

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1326818667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE STE 102",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813931",
            "telephone_number": "630-247-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211528",
            "telephone_number": "630-835-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "JADHAV",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-247-7216"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Dentistry Munster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.