Vormohr Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VORMOHR FAMILY DENTISTRY LLC

Practice address

1413 W Votaw St
Portland, IN 47371-9501

Phone

(260) 726-7822

NPI assigned

Jan 17, 2023

Last updated

Feb 24, 2023By 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

Kyeonghwa Vormohr, DDS

Title

Dentist

Phone

(317) 645-8565

Specialties & licenses 1

Addresses

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.

• Kyeonghwa Kim, DDS

  • Dentist
  • Muncie, IN
  • NPI 1124687736
  NPD
• Thomas M. Banta, D.D.S.

  • General Practice Dentistry
  • Portland, IN
  • NPI 1407835382
  NPD (past)

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1922713668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473719501",
            "telephone_number": "260-726-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473719501",
            "telephone_number": "260-726-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORMOHR FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "VORMOHR",
        "authorized_official_first_name": "KYEONGHWA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-645-8565",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Treon
• Tricounty Surgical Assoc., PC
• Som Dutt Tyagi, MD
• Marianne Valentine, PT
• Jennifer Vanskyock, LCSW, LCAC
• Vormohr Medical Center
• J Frank Vormohr, MD
• Joseph Francis Vormohr, M.D.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2388)
• Wal-Mart Stores East, LP (Vision Center 30-2388)

• General Practice Dentistry in Portland, IN
• Providers in Portland, 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 Feb 24, 2023; 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.