Egr Dental Management LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EGR DENTAL MANAGEMENT LLC

Doing business as

Keystone Family Dental Center

Practice address

5426 N Keystone Ave
Indianapolis, IN 46220-3456

Phone

(317) 252-5480

Fax

(317) 252-5482

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By 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. Evan Robbins, DDSNPI 1689013104

Title

Owner/Dentist

Phone

(317) 252-5480

Specialties & licenses 1

Addresses

Other names 1

• Keystone Family Dental Center Doing business as

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.

• Evan Robbins, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689013104
  NPD (past) Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1548736846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203456",
            "telephone_number": "317-252-5480",
            "fax_number": "317-252-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203456",
            "telephone_number": "317-252-5480",
            "fax_number": "317-252-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGR DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-252-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weldon T Egan, MD
• Onyechi Christropher Egbuniwe
• Melissa Egert
• Jessica Egger
• Angela Jean Egler
• Victor N Egwu, M.D.
• Abimbola Ehimare
• Dana Grace Ehlers, OTD, OTR/L
• James W, Ehlich Jr., MD
• Connor Lee Ehnle

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.