Annick Ishami, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014505A Issued in IN

Practice address

3506 Village CT
Gary, IN 46408-1428

Phone

(219) 985-3133

NPI assigned

Jun 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1801630033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORNINGSIDE CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 VILLAGE CT",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081428",
            "telephone_number": "219-985-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAMI",
        "first_name": "ANNICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Regional Sleep Disorders Center, Inc
• Indiana University Northwest
• Inner Connections Counseling & Consulting LLC
• Internal Medicine Center of Northwest Indiana PC
• Paul Ireland
• Asha L Ismael, CNA
• Kele Ivey, RN
• Anthony O Iwuagwu, M.D.
• Kiersten Jablonsky, RN
• Alexandria Nichelle Jackson, AGNP

• General Practice Dentistry in Gary, IN
• Providers in Gary, 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 Jun 22, 2024; 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.