Active NPI
John A Overman, DDS
- Periodontics
- Indianapolis, IN
National Provider Identifier
1962561209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6973
- Practice address
- 3003 E 98TH St Ste 241
Indianapolis, IN 46280-2907 - Phone
- (317) 846-5894
- Fax
- (317) 846-5986
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6973 | IN | Primary |
Addresses
Primary practice location
3003 E 98TH St Ste 241
Indianapolis, IN 46280-2907
Mailing address
3003 E 98TH St Ste 241
Indianapolis, IN 46280-2907
Phone (317) 846-5894
Other names 1
- Ms. Sherrie L Eberg-Freeman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6973 | IN | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962561209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 E 98TH ST STE 241",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802907",
"telephone_number": "317-846-5894",
"fax_number": "317-846-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 E 98TH ST STE 241",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802907",
"telephone_number": "317-846-5894",
"fax_number": "317-846-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMAN",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IN",
"license": "6973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRIE",
"last_name": "EBERG-FREEMAN",
"middle_name": "L",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.