NPIMap

Organization Active NPI

Family ENT & Sinus Center, P.C.

  • Otolaryngology Physician
  • Munster, IN
National Provider Identifier
1588053292
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01074176A Issued in IN
Legal business name
FAMILY ENT & SINUS CENTER, P.C.
Practice address
8840 Calumet Ave
Suite Number 103
Munster, IN 46321-2545
Phone
(219) 616-3342
Fax
(219) 836-7245
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Dr. Kedar A Kakodkar, M.D.
Title
Owner
Phone
(219) 616-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 01074176A IN Primary

Addresses

Primary practice location

8840 Calumet Ave
Suite Number 103
Munster, IN 46321-2545

Mailing address

8840 Calumet Ave
Suite Number 103
Munster, IN 46321-2545
Phone (219) 616-3342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1588053292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE",
            "address_2": "SUITE NUMBER 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212545",
            "telephone_number": "219-616-3342",
            "fax_number": "219-836-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE",
            "address_2": "SUITE NUMBER 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212545",
            "telephone_number": "219-616-3342",
            "fax_number": "219-836-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENT & SINUS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "KAKODKAR",
        "authorized_official_first_name": "KEDAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-616-3342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01074176A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.