Organization Active NPI

Kaszuba Dental, LLC

  • Dental Clinic/Center
  • Munster, IN
National Provider Identifier
1992315980
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KASZUBA DENTAL, LLC
Practice address
1934 45TH St
Munster, IN 46321-3917
Phone
(219) 595-3432
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Brianne Stojkovich
Title
Office Manager
Phone
(219) 595-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1934 45TH St
Munster, IN 46321-3917

Mailing address

1934 45TH St
Munster, IN 46321-3917
Phone (219) 595-3432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bri@ethosdentalgroup.com Direct Ethos Dental Group L.L.C.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992315980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213917",
            "telephone_number": "219-595-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213917",
            "telephone_number": "219-595-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASZUBA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "STOJKOVICH",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-595-3432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bri@ethosdentalgroup.com",
            "affiliation": "Y",
            "endpointDescription": "Corporate HIPAA secure email",
            "affiliationName": "Ethos Dental Group L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1934 45th St",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463213917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.