Liberty Indiana Alexandrunas

Primary specialty

DentistTaxonomy code 122300000X

License

12007652B Issued in IN

Legal business name

LIBERTY INDIANA ALEXANDRUNAS

Practice address

302 S Fairground St
Liberty, IN 47353-1414

Phone

(614) 935-7677

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Mark Alexandrunas, DMD

Title

Owner

Phone

(614) 425-9061

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental of Liberty Doing business as

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1720577448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 KITZMILLER RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548542",
            "telephone_number": "614-935-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S FAIRGROUND ST",
            "city": "LIBERTY",
            "state": "IN",
            "postal_code": "473531414",
            "telephone_number": "614-935-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY INDIANA ALEXANDRUNAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRUNAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-425-9061",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007652B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Liberty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Ann Gardner, FNP-C
• Lynette Getchius
• Odessa Ann Hamilton, N.P.
• Jeffrey W Rhonemus,D.D.S.,P.C.
• Brad Kelley, LCSW, LCAC
• Neighborhood Health Center Pharmacy LLC
• Neighborhood Health Center, Inc.
• Tyler Osborne
• Quad/Med, LLC
• Felicia Rauch, PHARMD

• All providers in Liberty, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.