Merrillville Dental Center Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MERRILLVILLE DENTAL CENTER INC.

Practice address

303 W 89TH Ave Ste E2
Merrillville, IN 46410-6295

Phone

(219) 755-0045

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Timothy John Kamp, DMD MSNPI 1669825832

Title

Owner

Phone

(219) 333-6166

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Timothy John Kamp, D.M.D.

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1669825832
  NPD Authorized official
• Louis Robert Sertich, D.D.S., M.S.

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1578560058
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1477192136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE STE E2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106295",
            "telephone_number": "219-755-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE STE E2",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106295",
            "telephone_number": "219-755-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLVILLE DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "KAMP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-333-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taquelia Meredith, RBT
• Jacob Merlo, RBT
• Merrillville 7900 Opco LLC
• Merrillville Clinic PC
• Merrillville Community School Corporation
• Merrillville Eye Clinic, Inc
• Merrillville Family Medical Center
• Merrillville Orthopedics and Spine Institute LLC
• Merrillville Pain Relief Center PC
• Merrillville Plaza Anesthesia Corporation

• Dental Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.