Organization Active NPI

Brazil Family Dentistry, LLC

  • Dentist
  • Brazil, IN
National Provider Identifier
1902649304
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRAZIL FAMILY DENTISTRY, LLC
Practice address
497 E US Highway 40
Brazil, IN 47834-7745
Phone
(812) 443-2541
Fax
(812) 446-1045
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Ryan L Ross, DDSNPI 1063490480
Title
Owner
Phone
(812) 443-2541

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
Dentist 122300000X Primary

Addresses

Primary practice location

497 E US Highway 40
Brazil, IN 47834-7745

Mailing address

497 E US Highway 40
Brazil, IN 47834-7745
Phone (812) 443-2541

National Provider Directory

National Provider Directory

Locations

497 E US Highway 40
Brazil, IN 47834
Phone (812) 443-2541

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1902649304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 E US HIGHWAY 40",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478347745",
            "telephone_number": "812-443-2541",
            "fax_number": "812-446-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 E US HIGHWAY 40",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478347745",
            "telephone_number": "812-443-2541",
            "fax_number": "812-446-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZIL FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-443-2541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.