NPIMap

Organization Active NPI

Immediate Dental Care

  • Dentist
  • Kokomo, IN
National Provider Identifier
1831925247
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IMMEDIATE DENTAL CARE
Practice address
3537 S Lafountain St
Suite a
Kokomo, IN 46902-3804
Phone
(765) 252-4041
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Ossama Elbarawy, DDSNPI 1376925487
Title
Owner
Phone
(317) 701-3564

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: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3537 S Lafountain St
Suite a
Kokomo, IN 46902-3804

Mailing address

3537 S Lafountain St Ste a
Kokomo, IN 46902-3804

National Provider Directory

National Provider Directory

Locations

3537 S Lafountain St
Ste A
Kokomo, IN 46902
Phone (765) 252-4041

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1831925247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 S LAFOUNTAIN ST STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S LAFOUNTAIN ST",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023804",
            "telephone_number": "765-252-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ELBARAWY",
        "authorized_official_first_name": "OSSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-701-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.