Familia Dental Evansville LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILIA DENTAL EVANSVILLE LLC

Doing business as

Familia Dental

Practice address

804 S. Green River Rd.
Ste a.
Evansville, IN 47715-4106

Phone

(812) 324-1981

Fax

(812) 909-4930

NPI assigned

Jul 9, 2017

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Alexander Taylor, CPCS

Title

Credentialing & Payer Relations Man

Phone

(847) 453-7396

Specialties & licenses 2

Addresses

Other names 1

• Familia Dental Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ghayasul Syed

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1871107292
  NPD
• Sarah Adel Weaver

  • Dental Hygienist
  • Evansville, IN
  • NPI 1255978813
  NPD
• Lakshmi Sravya Rallabandi, DMD

  • Dentist
  • Bolivar, MO
  • NPI 1932884160
  NPD
• Sruthi Anne, DDS

  • Dentist
  • Evansville, IN
  • NPI 1619499514
  NPD (past)
• Sharanpreet Kaur Kooner, DMD

  • Dentist
  • Evansville, IN
  • NPI 1487577169
  NPD (past)
• Abhilash Vemulapalli, DDS

  • Dentist
  • Evansville, IN
  • NPI 1770005688
  NPD (past)

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1336661628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 EAST ALGONQUIN ROAD",
            "address_2": "SUITE 610",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734166",
            "telephone_number": "847-453-7396",
            "fax_number": "847-453-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S. GREEN RIVER RD.",
            "address_2": "STE A.",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154106",
            "telephone_number": "812-324-1981",
            "fax_number": "812-909-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIA DENTAL EVANSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-09",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CREDENTIALING & PAYER RELATIONS MAN",
        "authorized_official_telephone_number": "847-453-7396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Familia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Faith, DO
• Jasper Brock Falconer, D.C.
• Sherri R Falconer, PT
• Lezeric Anzel Fallen, OTA
• Kara J Falls
• Family ENT Specialists, LLC
• Family First Vision Care Kentucky, LLC
• Family First Vision Care Kentucky, LLC
• Family Hearing Center
• Family Medicine Associates-Southern Indiana , P.C. (Family Medicine Associates)

• Dental Clinic/Center in Evansville, IN
• Providers in Evansville, 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 Jun 25, 2021; 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.