Ssva1411 LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SSVA1411 LLC

Practice address

894 Sim Hodgin Pkwy
Richmond, IN 47374-1931

Phone

(317) 526-0309

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shoba Viswanathan, DDSNPI 1780833020

Title

Dentist

Phone

(415) 335-5537

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.

• Shoba Viswanathan, D.D.S

  • Dentist
  • Richmond, IN
  • NPI 1780833020
  NPD Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1922664267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12576 BELLINGHAM BLVD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374207",
            "telephone_number": "415-335-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741931",
            "telephone_number": "317-526-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSVA1411 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "VISWANATHAN",
        "authorized_official_first_name": "SHOBA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-335-5537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Reed Spaulding IV
• Speech Therapy Center of Richmond, LLC
• Carrie Lynette Speheger, BCBA
• Andrew J Spoljaric, MD
• Lana Jean Sprouse, MSW, LCSW
• Jennifer M Stachler, RD
• Jerri Lynn Stanley
• Paul Stanley
• Jessica Marie Stapleton
• Kenneth Starnes

• Dentist in Richmond, IN
• Providers in Richmond, IN by specialty
• Dentist 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.