JP Dental - Richmond LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JP DENTAL - RICHMOND LLC

Practice address

894 Sim Hodgin Pkwy
Richmond, IN 47374-1931

Phone

(765) 962-3713

NPI assigned

Jun 6, 2016

Organization subpart

Yes

Parent organization

EVOLUTION DENTALAs reported in NPPES

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

Authorized official

Name

Dr. John Pasicznyk, DDS

Title

President

Phone

(317) 818-7777

Specialties & licenses 1

Addresses

Other names 1

• Spring Grove Dental Doing business as

Practitioners 2

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

• Marcus Stanley Miller, DDS

  • Dentist
  • Richmond, IN
  • NPI 1184732588
  NPD (past)
• Mark James Ziemba, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1093163503
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1992154587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741931",
            "telephone_number": "765-962-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741931",
            "telephone_number": "765-962-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP DENTAL - RICHMOND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLUTION DENTAL",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PASICZNYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-818-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eunice A Jordan, FNP-C, PMHNP-BC
• Noteka S Jordan, MSW
• Joseph Hong, MD, LLC
• Allen Boyce Joseph, M.D.
• Joyce a. Zagursky MD LLC
• Emily Rebekah Judd, SLP
• Timothy James Kaehr, LMFT
• Thomas Gene Kaeuper, DDS
• Kristen Kaiser, NP
• Valaree Kaiser

• General Practice Dentistry in Richmond, IN
• Providers in Richmond, 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 Jun 6, 2016; 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.