Active NPI
Brad Sammons DDS, PC
- Dentist
- Indianapolis, IN
National Provider Identifier
1477997559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009371
- Legal business name
- BRAD SAMMONS DDS, PC
- Doing business as
- Brad Sammons DDS, PC
- Practice address
- 8325 S Emerson Ave
Suite a-1
Indianapolis, IN 46237-8558 - Phone
- (317) 859-6768
- Fax
- (317) 859-0144
- NPI assigned
- Apr 19, 2013
- Last updated
- Aug 27, 2013
- 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
- Brad Sammons, DDS
- Title
- Dentist
- Phone
- (317) 859-6768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12009371 | IN | Primary |
Addresses
Primary practice location
8325 S Emerson Ave
Suite a-1
Indianapolis, IN 46237-8558
Mailing address
8325 S Emerson Ave
Suite a-1
Indianapolis, IN 46237-8558
Phone (317) 859-6768
Other names 1
- Brad Sammons DDS, PC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Indianapolis, IN
- NPI 1639275175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377561600000",
"number": "1477997559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 S EMERSON AVE",
"address_2": "SUITE A-1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378558",
"telephone_number": "317-859-6768",
"fax_number": "317-859-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 S EMERSON AVE",
"address_2": "SUITE A-1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378558",
"telephone_number": "317-859-6768",
"fax_number": "317-859-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAD SAMMONS DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-19",
"last_updated": "2013-08-27",
"status": "A",
"authorized_official_last_name": "SAMMONS",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "317-859-6768",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brad Sammons DDS, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.