Individual provider Active NPI

Sanabel Kazem Younes, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1982968004
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011843A Issued in IN
Practice address
2248 E 53Rd St
Indianapolis, IN 46220-3479
Phone
(317) 472-9888
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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 12011843A IN Primary

Addresses

Primary practice location

2248 E 53Rd St
Indianapolis, IN 46220-3479

Mailing address

3113 Cassara Dr
Indianapolis, IN 46203-6191
Phone (317) 361-0686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004000521 IN Order and Referring Only - DentistPractitioner - Dentist 4880982099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011843AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East 53Rd Street Dental-2, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1982968004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 CASSARA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036191",
            "telephone_number": "317-361-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 E 53RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203479",
            "telephone_number": "317-472-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNES",
        "first_name": "SANABEL",
        "middle_name": "KAZEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011843A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.