Active NPI
Amk Dental, LLC
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1437468923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12010691A
- Legal business name
- AMK DENTAL, LLC
- Practice address
- 4939 E 82ND St
Indianapolis, IN 46250-5678 - Phone
- (317) 578-8900
- Fax
- (317) 578-8935
- NPI assigned
- Sep 30, 2010
- Last updated
- Sep 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Afaq M. Kheiri, DDS
- Title
- Owner
- Phone
- (866) 273-8204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010691A | IN | Primary |
Addresses
Primary practice location
4939 E 82ND St
Indianapolis, IN 46250-5678
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204
National Provider Directory
National Provider DirectoryLocations
4939 E 82nd St
Indianapolis, IN 46250
Phone (317) 578-8900
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1437468923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "866-273-8204",
"fax_number": "866-803-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 E 82ND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462505678",
"telephone_number": "317-578-8900",
"fax_number": "317-578-8935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMK DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "KHEIRI",
"authorized_official_first_name": "AFAQ",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-273-8204",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010691A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.