Brad Sammons, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12009371 Issued in IN

Practice address

8325 S Emerson Ave
Suite a-1
Indianapolis, IN 46237-8558

Phone

(317) 859-6768

Fax

(317) 859-0144

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brad Sammons DDS, PC

  • Dentist
  • Indianapolis, IN
  • NPI 1477997559
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639275175",
    "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": {
        "last_name": "SAMMONS",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hala Samaan
• Srinivas Sambaraju
• Pritham Sambathur
• Mary Ellyn Samels, PA-C
• Mahmoud Samman, MD
• Ibrahim Abdallah Sammour, M.D.
• Yasser Yahya Sammour
• Raisa Samonte
• Amy Samplawski
• Emily Sample

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.