Region Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REGION DENTAL GROUP LLC

Doing business as

Region Dental Group, LLC

Practice address

713 US Highway 41 Ste a
Schererville, IN 46375-1798

Phone

(219) 227-8694

Fax

(219) 266-5894

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By 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

Ajmal S. Wardak, DDS

Title

Dentist/Owner

Phone

(317) 225-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Region Dental Group, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikola Djorovic, D.D.S.

  • Dentist
  • Munster, IN
  • NPI 1326490657
  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1881311736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 US HIGHWAY 41 STE A",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751798",
            "telephone_number": "219-227-8694",
            "fax_number": "219-266-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 US HIGHWAY 41 STE A",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751798",
            "telephone_number": "219-227-8694",
            "fax_number": "219-266-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "WARDAK",
        "authorized_official_first_name": "AJMAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "317-225-6666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1588793913",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Region Dental Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin M Rarama, DPT
• Victoria Jayne Rarity, DO
• Bianca Ray, FNP-BC
• David Francis Ray, DPM
• Rci (WRS), LLC.
• Rejuvenation House Medi-Spa LLC (The Rejuvenation House Medi-Spa LLC)
• Ambrose Resa Jr.
• RH Clinic LLC
• Paul D Rhodea
• Elisa R. Rhodes, NURSE PRACTITIONER

• General Practice Dentistry in Schererville, IN
• Providers in Schererville, 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 Oct 21, 2022; 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.