Secure Dental VIII

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SECURE DENTAL VIII

Doing business as

Secure Dental Hammond

Practice address

7905 Indianapolis Blvd
Indianan, IN 46324

Phone

(309) 681-8888

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 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. Nazish Jafri, DDSNPI 1538447321

Title

Dentsit

Phone

(309) 681-8888

Specialties & licenses 1

Addresses

Other names 1

• Secure Dental Hammond Doing business as

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.

• Nazish Hasan Jafri, D.D.S.

  • Dentist
  • Peoria, IL
  • NPI 1538447321
  Authorized official Same address or phone

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1679049779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVERSIDE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112068",
            "telephone_number": "309-681-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 INDIANAPOLIS BLVD",
            "city": "INDIANAN",
            "state": "IN",
            "postal_code": "46324",
            "telephone_number": "309-681-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DENTAL VIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_title_or_position": "DENTSIT",
        "authorized_official_telephone_number": "309-681-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Dental Hammond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.