White River Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

WHITE RIVER ENDODONTICS, LLC

Practice address

9779 E 146TH St Ste 110
Noblesville, IN 46060-4327

Phone

(317) 674-3919

Fax

(317) 674-3911

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Hamer, DDSNPI 1548755895

Title

Member

Phone

(317) 674-3919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ethan Hamer, DDS

  • Endodontics
  • Noblesville, IN
  • NPI 1548755895
  NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1992370530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9779 E 146TH ST STE 110",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604327",
            "telephone_number": "317-674-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9779 E 146TH ST STE 110",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604327",
            "telephone_number": "317-674-3919",
            "fax_number": "317-674-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "HAMER",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-674-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wert, LCSW
• Charles Reeder Wesley, M.D.
• Angelique West
• Christopher Rodney West, NP
• Kristin Copeland Westphal
• Aarika Vannatter White, PH.D., HSPP
• Allison White
• Teri Whiteman
• Heather Whitney, LCSW
• Brooke D Whitten, DO

• Endodontics in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.