B and B Dental Group, LLC D/B/a Kessler Family Dental and Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

B AND B DENTAL GROUP, LLC D/B/A KESSLER FAMILY DENTAL AND ASSOCIATES

Practice address

9161 E 109TH Ave
Crown Point, IN 46307-8677

Phone

(219) 576-7958

NPI assigned

Jun 20, 2019

Organization subpart

Yes

Parent organization

COMPTON AND BROOMHEAD DENTAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Elias Arthur Macis, DMDNPI 1164077046

Title

Dentist

Phone

(219) 308-2694

Specialties & licenses 1

Addresses

Part of

Compton and Broomhead Dental Center LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Compton and Broomhead Dental Center, LLC

  • Dental Clinic/Center
  • Munster, IN
  • NPI 1780041731
  NPPES parent name

Practitioners 1

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

• Elias Arthur Macis, DMD

  • Dentist
  • Crown Point, IN
  • NPI 1164077046
  NPD (past) Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1346800463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078677",
            "telephone_number": "219-576-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078677",
            "telephone_number": "219-576-7958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Fran Lin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213540",
            "country_code": "US",
            "telephone_number": "219-552-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "B AND B DENTAL GROUP, LLC D/B/A KESSLER FAMILY DENTAL AND ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPTON AND BROOMHEAD DENTAL CENTER, LLC",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "MACIS",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-308-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.