Active NPI
Repay Dental LLC
- General Practice Dentistry
- Munster, IN
National Provider Identifier
1447759519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- REPAY DENTAL LLC
- Practice address
- 1934 45TH Street
Munster, IN 46321 - Phone
- (219) 595-3432
- Fax
- (219) 951-4245
- NPI assigned
- Feb 5, 2018
- Last updated
- Feb 5, 2018
- 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
- Brianne Stojkovich
- Title
- Office Manager
- Phone
- (219) 595-3432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1934 45TH Street
Munster, IN 46321
Mailing address
1934 45TH Street
Munster, IN 46321
Phone (219) 595-3432
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517788800000",
"number": "1447759519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 45TH STREET",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-595-3432",
"fax_number": "219-951-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 45TH STREET",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-595-3432",
"fax_number": "219-951-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPAY DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2018-02-05",
"status": "A",
"authorized_official_last_name": "STOJKOVICH",
"authorized_official_first_name": "BRIANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "219-595-3432"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.