Dr. Tannous, DDS, LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DR. TANNOUS, DDS, LLC

Practice address

3965 W 106TH St
Carmel, IN 46032-7750

Phone

(708) 717-4365

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Rawan Tannous, DDSNPI 1275066235

Title

Dentist

Phone

(708) 717-4365

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.

• Rawan Tannous, D.D.S.

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1275066235
  NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1548879273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10775 ONYX DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329494",
            "telephone_number": "708-717-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 W 106TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327750",
            "telephone_number": "708-717-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TANNOUS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "TANNOUS",
        "authorized_official_first_name": "RAWAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-717-4365",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Carmel, IN
• Providers in Carmel, IN by specialty
• Public Health or Welfare Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.