NORTHSIDE ENDODONTICS, PC (NPI# 1588810980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588810980 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE ENDODONTICS, PC |
| Practice Address |
1400 S Pilgrim Blvd Yorktown IN 47396-9250 |
| Practice Telephone | 7657599630 |
| Practice Fax Number | 7657599640 |
| Mailing Telephone | 7657599630 |
| Mailing Fax Number | 7657599640 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DR. JOHN H SLAVENS (OWNER) |
| Authorized Official Telephone | 7957599630 |
| Authorized Official Credential | DDS,MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
54000837A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730345646 | Northside Endodontics, PC | Dentist | 1010 E 86th St, Suite 15, Indianapolis, IN 46240-1868 | 2008-07-30 |
| Street Address |
1400 S PILGRIM BLVD |
| City | YORKTOWN |
| State | IN |
| Zip Code | 47396-9250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679979041 | Quad/med, LLC | Clinic/Center | 2005 S Tiger Dr, Yorktown, IN 47396 | 2014-11-13 |
| 1699033944 | Mini Dental Implant Centers of America LLC | Dentist | 2001 S Tiger Drive, Yorktown, IN 47396 | 2012-04-24 |
| 1306802087 | Andrew Blake Wagner | Physical Therapist | 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 | 2006-04-22 |
| 1992008742 | Roberta Vernice Reichenbach | Nurse Practitioner | 9730 W Smith St, Yorktown, IN 47396-1199 | 2010-12-17 |
| 1770837965 | Yorktown Community Schools | Local Education Agency (LEA) | 2311 S Broadway St, Yorktown, IN 47396-1200 | 2012-11-09 |
| 1467643817 | Lisa Michelle Kattner | Counselor | 9010 W Smith St, Suite 2, Yorktown, IN 47396-1313 | 2007-08-08 |
| 1801921150 | Mt Pleasant Twp Comm Sch | Local Education Agency (LEA) | 8800 W Smith St, Yorktown, IN 47396-1332 | 2007-02-23 |
| 1518094119 | Tiffany L Stinson | Physical Therapist | 2213 S Sisk Dr, Yorktown, IN 47396-1443 | 2007-02-28 |
| 1730392986 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 2000 S Andrews Rd, Yorktown, IN 47396-6812 | 2007-05-07 |
| 1275572646 | The Waters of Yorktown, LLC | Skilled Nursing Facility | 2000 S. Andrews Road, Yorktown, IN 47396-6812 | 2006-06-04 |
| Find all providers in zip 47396 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954913 | Adam B Broady Dds Msd & Associates LLC | Dentist | 9002 N Meridian St Ste 201, Indianapolis, IN 46260-5350 | 2020-05-28 |
| 1891322558 | Core Endodontics | Dentist | 2206 State St Ste 100, New Albany, IN 47150-4952 | 2020-03-24 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1356816037 | West Indy Pippin Dental PC | Dentist | 8252 Rockville Rd, Indianapolis, IN 46214-3113 | 2018-10-09 |
| 1992299689 | East Washington Street Dental Indy, In, PC | Dentist | 9972 E Washington St, Indianapolis, IN 46229-3040 | 2018-06-18 |
| 1962940254 | Dcp of Indiana (castleton Square), P.C. | Dentist | 17535 Terry Lee Crossing, 200-b, Noblesville, IN 46060-2476 | 2017-02-07 |
| 1447559166 | Kool Smiles In-3, PC | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2011-03-21 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1306072814 | Ashleigh Marie Rexford | Dentist | 3750 Guion Rd Ste 280, Indianapolis, IN 46222-1696 | 2009-06-10 |
| 1679735898 | Jason P Glassley | Dentist | 5718 Coventry Ln, Fort Wayne, IN 46804-7141 | 2008-06-29 |
| Find all providers with the same taxonomy | ||||
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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.