Secure Dental VI

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SECURE DENTAL VI

Practice address

1945 Harder CT
Schererville, IN 46375-1795

Phone

(708) 895-6189

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Nazish Hasan Jafri, DDS

Title

Owner Dentist

Phone

(815) 708-2762

Specialties & licenses 1

Addresses

Other names 1

• Secure Dental Schererville Doing business as

Tax ID family

Secure Dental Ashland Avenue3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Secure Dental VI

  • Dentist
  • Moline, IL
  • NPI 1598231698
  NPD tax ID
• Secure Dental VI

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1811535404
  NPD tax ID

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1932798352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVERSIDE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112068",
            "telephone_number": "309-606-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HARDER CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751795",
            "telephone_number": "708-895-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DENTAL VI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_middle_name": "HASAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "815-708-2762",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Dental Schererville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schererville Family Dentistry
• Nancy Jean Schmidt, RN
• Lynn C Schmitt, P.T.
• Rachael A Schultz, APRN
• John J. Schymanski, D.D.S.
• Amar Shah, MD
• Ghazala Shahid
• Aradhana Sharma, R.P.T.
• Vimal Sharma, R.P.T.
• Lisa S Sheehan, P.T.

• Dental Clinic/Center in Schererville, IN
• Providers in Schererville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.