Gary Pediatric & Family Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12011737A Issued in IN

Legal business name

GARY PEDIATRIC & FAMILY DENTISTRY

Practice address

3506 Village CT
Gary, IN 46408-1428

Phone

(269) 267-8033

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Claudette Munyabera, DDS

Title

Pediatric Dentist

Phone

(269) 267-8033

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1841607231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 VILLAGE COURT",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "269-267-8033"
        },
        {
            "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": "269-267-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY PEDIATRIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MUNYABERA",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "269-267-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011737A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011737A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary City Working and Procedure Clinic LLC-S
• Gary Community Schools Corportion
• Gary Health Department
• Gary Health Department
• Gary Neighborhood Services
• Gary Smiles Youth Dentistry, LLC
• Ashley Gaskins, DT-C
• Lynn E Gassoway, DDS
• Sandra R Gates-Manna, NP
• Genoa Healthcare LLC

• Pediatric Dentistry in Gary, IN
• Providers in Gary, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.