Midwest Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MIDWEST ENDODONTICS LLC

Practice address

2709 Washington Ave
Suite 1
Evansville, IN 47714-2411

Phone

(812) 476-8000

Fax

(812) 471-3901

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By 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

Brent R Grafe, D.D.S.NPI 1992914345

Title

President

Phone

(812) 476-8000

Specialties & licenses 1

Addresses

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.

• Brent R Grafe, D.D.S.

  • Endodontics
  • Evansville, IN
  • NPI 1992914345
  Authorized official Same address or phone

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1467600478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 WASHINGTON AVE",
            "address_2": "SUITE 1",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142411",
            "telephone_number": "812-476-8000",
            "fax_number": "812-471-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 WASHINGTON AVE",
            "address_2": "SUITE 1",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142411",
            "telephone_number": "812-476-8000",
            "fax_number": "812-471-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GRAFE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-476-8000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Mick, MD
• Sarah Mickus
• Mid America Clinical Laboratories, LLC
• Midwest Behavioral Health LLC (dba LifeStance Health)
• Midwest Ear Nose and Throat Surgery, PSC
• Midwest Internal Medicine PC
• Midwest Mobile Ultrasound, LLC
• Midwest Neurological P.C.
• Midwest Neuropsychological Consultant
• Midwest Scope LLC

• Endodontics in Evansville, IN
• Providers in Evansville, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.