NPIMap

Organization Active NPI

Oak Ridge Dental & Surgery, LLC

  • Dentist
  • Hammond, IN
National Provider Identifier
1720556749
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OAK RIDGE DENTAL & SURGERY, LLC
Practice address
5815 Calumet Ave
Hammond, IN 46320-2352
Phone
(219) 285-3016
NPI assigned
Nov 7, 2018
Organization subpart
Yes
Parent organization
OAK RIDGE DENTAL & SURGERY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Dr. Muzaffar M Shah-Khan, DDSNPI 1528435567
Title
Ceo/Owner
Phone
(219) 285-3016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5815 Calumet Ave
Hammond, IN 46320-2352

Mailing address

5815 Calumet Ave
Hammond, IN 46320-2352
Phone (219) 285-3016

National Provider Directory

National Provider Directory
Part of
Oak Ridge Dental Surgery LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1720556749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202352",
            "telephone_number": "219-285-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202352",
            "telephone_number": "219-285-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE DENTAL & SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK RIDGE DENTAL & SURGERY, LLC",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "SHAH-KHAN",
        "authorized_official_first_name": "MUZAFFAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "219-285-3016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.