INDIANA DENTAL SLEEP THERAPY LLC (NPI# 1134596869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134596869 |
| Entity Type | Organization |
| Organization Name | INDIANA DENTAL SLEEP THERAPY LLC |
| Other Organization Name | KOALA CENTER FOR SLEEP DISORDERS IN-2 |
| Practice Address |
4921 Sr 26 E Suite 300 Lafayette IN 47905 |
| Practice Telephone | 3092438980 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | DR. SHANE COPE (OWNER) |
| Authorized Official Telephone | 3176407907 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011052A | IN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Koala Center for Sleep Disorders IN-2 | Doing Business As Name - Organization |
| Street Address |
4921 SR 26 E SUITE 300 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| 1407018435 | Arnett-clarian Health System, LLC | General Acute Care Hospital | 5165 Mccarty Lane, Lafayette, IN 47905 | 2008-07-01 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| 1952864654 | Laura Aguilar | Dentist | 3466 Mt Diablo Blvd Ste C207, Lafayette, CA 94549-7108 | 2019-04-09 |
| 1558852251 | Affordable Dentures & Implants - Lafayette, P.C. | Dentist | 4315 Commerce Dr Ste 210, Lafayette, IN 47905-3823 | 2018-05-29 |
| 1194246942 | Benjamin Isaac Fischer | Dentist | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2017-07-02 |
| 1912351941 | John Hyun-suk Kim | Dentist | 901 Moraga Rd Ste B, Lafayette, CA 94549-4567 | 2016-04-15 |
| 1912364241 | Maura Rose Darnieder | Dentist | 1285 Centaur Village Dr, Suite 200, Lafayette, CO 80026-1214 | 2016-01-17 |
| 1538530381 | Jacob Dent, Dds Lafayette Modern Dentistry, A Professional Corporation | Dentist | 4243 Ambassador Caffery Pkwy, Ste 118, Lafayette, LA 70508 | 2015-10-19 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1356724793 | Valeri Rose Guido-walker | Dentist | 150 Professional Ct, Suite B, Lafayette, IN 47905-5153 | 2015-07-02 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.