ALEXANDRA POLUS (NPI# 1750799565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750799565 |
| Entity Type | Individual |
| Full Name | ALEXANDRA POLUS |
| Credential | D.M.D. |
| Practice Address |
1549 S Court St Ste B Crown Point IN 46307-4809 |
| Practice Telephone | 2196620131 |
| Mailing Telephone | 2196620131 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
12012199A | IN | Dental Providers |
| Street Address |
1549 S COURT ST STE B |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208884 | Prosthodontics of Central Indiana | Dentist | 11405 N Penn St Ste 110, Carmel, IN 46032-6905 | 2020-06-04 |
| 1962068502 | Karina Pezo Shirley | Dentist | 2001 W Washington St Ste B2, Indianapolis, IN 46222-4549 | 2019-05-18 |
| 1275039497 | Julianne Manzo Sotomil | Dentist | 1121 W Michigan St # S312, Indianapolis, IN 46202-5211 | 2018-04-05 |
| 1447638648 | Kamolphob Phasuk | Dentist | 1121 W Michigan St Rm 313, Indianapolis, IN 46202-5521 | 2015-05-08 |
| 1073929832 | Tyler Jeffrey Thomas | Dentist | 370 Medical Dr Ste B, Carmel, IN 46032-2971 | 2014-07-01 |
| 1770994238 | Ankit Patel | Dentist | 5770 Noble Dr, Indianapolis, IN 46234-7725 | 2014-05-17 |
| 1902032030 | Kellie Michelle Schaub | Dentist | 370 Medical Dr., Ste B, Carmel, IN 46032 | 2009-06-03 |
| 1083852669 | Roland S. Outarsingh | Dentist | 548 Ridge Rd, Suite G, Munster, IN 46321-1649 | 2009-02-04 |
| 1609031335 | Michael Loren Drone | Dentist | 809 Wall St Ste B, Valparaiso, IN 46383-2571 | 2008-07-22 |
| 1356401657 | Mark S. Lund D.d.s., M.s.d.,pc | Dentist | 3985 W 106th St Ste 150, Carmel, IN 46032-9245 | 2006-12-10 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.