D2 Dental of Hammond

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

D2 DENTAL OF HAMMOND

Practice address

1738 165TH St
Suite 300
Hammond, IN 46320-2821

Phone

(708) 386-4100

NPI assigned

Mar 10, 2012

Last updated

Nov 15, 2013By 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

Mr. Boris Labinov

Title

Agent

Phone

(708) 386-4100

Specialties & licenses 1

Addresses

Tax ID family

D2 Dental of Hammond PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• D2 Dental of Hammond, P.C.

  • Dentist
  • Indianapolis, IN
  • NPI 1376938084
  NPD tax ID
• D2 Dental of Hammond, P.C.

  • Dentist
  • Indianapolis, IN
  • NPI 1417328881
  NPD tax ID

Locations

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1750656690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 302A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 165TH ST",
            "address_2": "SUITE 300",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202821",
            "telephone_number": "708-386-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "LABINOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "708-386-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hammond, IN
• Providers in Hammond, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.