Individual provider Active NPI

Seth A Tambrini, DDS

  • General Practice Dentistry
  • Dyer, IN
National Provider Identifier
1962546838
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010864 Issued in IN
Practice address
202 Joliet St
Suite 200a
Dyer, IN 46311-1724
Phone
(219) 865-5040
Fax
(219) 865-8383
NPI assigned
Feb 16, 2007
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010864 IN Primary

Addresses

Primary practice location

202 Joliet St
Suite 200a
Dyer, IN 46311-1724

Mailing address

6923 Bluffgrove Cir
Indianapolis, IN 46278-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12010864INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tambrini Dental Care LLC Current Accepting new patients
Dyer Dental Professionals, Inc. PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1962546838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 BLUFFGROVE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JOLIET ST",
            "address_2": "SUITE 200A",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111724",
            "telephone_number": "219-865-5040",
            "fax_number": "219-865-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBRINI",
        "first_name": "SETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.