K Luke Eades DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54000865 Issued in IN

Legal business name

K LUKE EADES DDS PC

Practice address

2810 S Walnut Street Pike
Bloomington, IN 47401-8403

Phone

(812) 336-2688

Fax

(812) 336-1090

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Luke Eades, DDSNPI 1235236811

Title

President

Phone

(812) 336-2688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Luke Eades, DDS

  • Dentist
  • Bloomington, IN
  • NPI 1235236811
  NPD (past) Authorized official
• Candace Hensley, DDS

  • Dentist
  • Bloomington, IN
  • NPI 1831764471
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1962670034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S WALNUT STREET PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018403",
            "telephone_number": "812-336-2688",
            "fax_number": "812-336-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S WALNUT STREET PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018403",
            "telephone_number": "812-336-2688",
            "fax_number": "812-336-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K LUKE EADES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-336-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "54000865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "54000865",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Marie Judge, BSN, RN, CRNI, VA-BC
• Shanaz Nacy Judge, PMHNP
• Judson L Brewer MD PC
• Sangeeta Juloori, M.D.
• Sonia A Jyoti, M.D.
• Kab Medical Associates, Inc
• Allison Kaderabek, M.D.
• Quinn Maxwell Kaiser
• Kaitlin King, LLC.
• Kaleidoscope Pediatric Speech Therapy Specialists, LLC

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, 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 18, 2015; 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.