Djorovic, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

12012475A Issued in IN

Legal business name

DJOROVIC, INC.

Practice address

920 Evergreen LN
Schererville, IN 46375-1156

Phone

(219) 512-2101

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By 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

Nikola Djorovic, DDS

Title

Dentist

Phone

(219) 512-2101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1720438476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 EVERGREEN LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751156",
            "telephone_number": "219-512-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 EVERGREEN LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751156",
            "telephone_number": "219-512-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJOROVIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "DJOROVIC",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-512-2101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012475A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.