East 53Rd Street Dental-2, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EAST 53RD STREET DENTAL-2, P.C.

Doing business as

Kool Smiles

Practice address

2248 E 53Rd St
Indianapolis, IN 46220-3479

Phone

(317) 472-9888

Fax

(317) 257-7028

NPI assigned

Oct 25, 2006

Last updated

May 13, 2019By 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

Dr. David Vieth

Title

Chief Dental Officer

Phone

(770) 916-9000

Specialties & licenses 3

Addresses

Other names 2

• Kool Smiles Doing business as
• Kool Smiles INI-2,PC Former legal business name

Locations

Practitioners 2

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.

• Jeffrey M. Jones, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1598924698
  NPD (past)
• Sanabel Kazem Younes, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1982968004
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1881778801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE STE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676407",
            "telephone_number": "770-916-5036",
            "fax_number": "678-285-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 E 53RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203479",
            "telephone_number": "317-472-9888",
            "fax_number": "317-257-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 53RD STREET DENTAL-2, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "VIETH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "770-916-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kool Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kool Smiles INI-2,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Toni Kristy Eash, PHARMD
• Pamela A Easler Sherrill, MSW, LCSW, CSAYC
• Jeffrey James Easler, MD
• Megan Easley, DO
• East 53Rd Street Dental-1, PC (Pippin Dental)
• East Campus Surgery Center LLC
• East Indianapolis Oral and Maxillofacial Surgery (Steven C. Graham, DDS, Matthew C. Moll, DDS)
• East Indy Dental Care, LLC
• East Side Rheumatology
• East Street Spine & Rehab, Inc.

• 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 May 13, 2019; 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.