Jeremy Friedman DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010743 Issued in IN

Legal business name

JEREMY FRIEDMAN DDS, LLC

Practice address

14331 E Jackson Street
Parker City, IN 47368

Phone

(765) 468-6814

Fax

(765) 433-2333

NPI assigned

Aug 8, 2013

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JEREEMY FRIEDDMAN DDS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jeremy A Friedman, DDS

Title

Owner/Dentist

Phone

(317) 414-1616

Specialties & licenses 1

Addresses

Part of

Jeremy Friedman DDS LLC

Locations

Practitioners 1

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.

• Terry W Davis, DDS

  • General Practice Dentistry
  • Parker City, IN
  • NPI 1972519841
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1376975615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 E JACKSON STREET",
            "city": "PARKER CITY",
            "state": "IN",
            "postal_code": "473689401",
            "telephone_number": "765-468-6814",
            "fax_number": "765-433-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 E JACKSON STREET",
            "city": "PARKER CITY",
            "state": "IN",
            "postal_code": "47368",
            "telephone_number": "765-468-6814",
            "fax_number": "765-433-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY FRIEDMAN DDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEREEMY FRIEDDMAN DDS, LLC",
        "enumeration_date": "2013-08-08",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-414-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry W Davis, DDS
• Monroe Central School Corporation
• Jessica Cherron New, PTA
• Oscar I Ordonez
• Parker Primary Care & Aesthetics LLC
• Kyle Parkison

• General Practice Dentistry in Parker City, IN
• Providers in Parker City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.