Fogg Say Smile LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOGG SAY SMILE LLC

Practice address

9940 Pendleton Pike Ste B
Indianapolis, IN 46236-2823

Phone

(317) 541-1900

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Rebwar Raheema

Title

Owner

Phone

(317) 541-1900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1871248260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 PENDLETON PIKE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362823",
            "telephone_number": "317-541-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGG SAY SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "RAHEEMA",
        "authorized_official_first_name": "REBWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-541-1900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Fogarty, M.A., SLP-CCC
• Evan L Fogel, M.D.
• Janine M Fogel, MD
• Richard I Fogel, MD
• Fogg DDS Holdings LLC
• Ryan Fogg, MD
• Jessica R Fogle
• Norman Fogle, MD
• Nicholas Edmund Fohl, MD
• Courtney Foist, LCSW

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 20, 2023; 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.