Nam Park Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010943 Issued in IN

Legal business name

NAM PARK DENTAL PC

Practice address

6117 N College Ave Ste 1&2
Indianapolis, IN 46220-2233

Phone

(317) 257-3368

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kasie Y. Nam, DDS

Title

Dentist

Phone

(317) 257-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Lynn Ball, D.M.D.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1205183613
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1922403922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 N COLLEGE AVE STE 1&2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202233",
            "telephone_number": "317-257-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 N COLLEGE AVE STE 1&2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202233",
            "telephone_number": "317-257-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM PARK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "KASIE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-257-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghana Sai Nalamolu
• Saiishitha Nalamolu, DO
• Hinduja Nallamala, DO
• Prakash Nallani
• Sravan Nalloju, RPT
• Hye Kyong Nam
• Kasie Y Nam, DDS
• Halide Namli Kilic, DDS, PHD
• Nana and Papa Loving Home Care LLC
• Nana Cares LLC

• 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 Nov 3, 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.