Evansville Endodontics, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EVANSVILLE ENDODONTICS, INC.

Practice address

7321 Eagle Crest Blvd
Evansville, IN 47715-8157

Phone

(812) 402-9600

Fax

(812) 402-9605

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By 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

Dr. Krieger Webb Brasseale, DDSNPI 1750424263

Title

Owner

Phone

(812) 402-9600

Specialties & licenses 1

Addresses

Tax ID family

Evansville Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evansville Endodontics

  • Endodontics
  • Evansville, IN
  • NPI 1306948419
  NPD tax ID

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.

• Krieger Webb Brasseale, D.D.S.

  • Endodontics
  • Evansville, IN
  • NPI 1750424263
  Authorized official Same address or phone

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1538424023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 EAGLE CREST BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158157",
            "telephone_number": "812-402-9600",
            "fax_number": "812-402-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 EAGLE CREST BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158157",
            "telephone_number": "812-402-9600",
            "fax_number": "812-402-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE ENDODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "BRASSEALE",
        "authorized_official_first_name": "KRIEGER",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-402-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evansville Christian Life Center Inc
• Evansville Christian Life Center Inc
• Evansville Counseling Center, LLC
• Evansville Dental Associates (TriState Family Dnetal Centers)
• Evansville Endodontics
• Evansville Eyecare Associates, Inc.
• Evansville Family Medicine
• Evansville Hearing Aid Center, LLC
• Evansville Heart Center, LLC
• Evansville in Homecare, 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 Jul 10, 2012; 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.