DR. EVERETT BRADY HANCOCK (NPI# 1861406407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861406407 |
Entity Type | Individual |
Full Name | DR. EVERETT BRADY HANCOCK |
Credential | D.D.S. |
Practice Address |
370 Medical Dr Carmel IN 46032-2916 |
Mailing Address |
7425 Cherryhill Dr Indianapolis IN 46254-9769 |
Practice Telephone | 3178444155 |
Mailing Telephone | 3172975322 |
Mailing Fax Number | 3172987312 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
12008995A | IN | Dental Providers |
Street Address |
370 MEDICAL DR |
City | CARMEL |
State | IN |
Zip Code | 46032-2916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144272212 | Associated Orthodontists of Indiana, Inc. | Dentist | 370 Medical Dr, Suite C, Carmel, IN 46032-2916 | 2006-05-17 |
1972889582 | Alex Titus Dentistry, LLC | Dentist | 370 Medical Dr, Suite D, Carmel, IN 46032-2916 | 2011-10-26 |
1316232614 | Alexander Titus | Dentist | 370 Medical Dr, Suite D, Carmel, IN 46032-2916 | 2011-06-14 |
1962619775 | Mary Elizabeth Brandt | Dentist | 370 Medical Dr, Ste C, Carmel, IN 46032-2916 | 2007-05-17 |
1063629871 | John Gregory Rapp | Dentist | 370 Medical Dr, Ste C, Carmel, IN 46032-2916 | 2007-05-17 |
1891916169 | Indiana Restorative Dentistry PC | Dentist | 370 Medical Dr, Suite B, Carmel, IN 46032-2916 | 2007-05-02 |
1437260239 | Donald Francis Bozic | Dentist | 370 Medical Dr, Suite C, Carmel, IN 46032 | 2006-08-31 |
1518078310 | Dr Donald F Bozic Inc | Dentist | 370 Medical Dr, Suite C, Carmel, IN 46032 | 2006-08-31 |
1518974039 | Joseph William Shoemaker | Dentist | 370 Medical Dr, Suite D, Carmel, IN 46032-2916 | 2006-08-01 |
1710934708 | Ronald Stephen Lehman | Dentist | 370 Medical Dr, Suiteb, Carmel, IN 46032-2916 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588997183 | Shane T Cope Dds, PC | Dentist | 10435 Commerce Drive, Suite 120, Carmel, IN 46032 | 2009-09-14 |
1518982040 | Stephen C. Smith | Dentist | 26485 Carmel Rancho Blvd, Suite 1, Carmel, CA 93923 | 2006-07-13 |
1699880278 | Richard S Bloomer Jr. | Dentist | 370 Medical Drive, Suite E, Carmel, IN 46032-2971 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114524477 | Katherine E. Ferry | Dentist | 4303 E Windsor Ln, Columbus, IN 47201-4022 | 2020-10-08 |
1609421965 | Hawra Alqallaf | Dentist | 1121 W Michigan St # Ds422, Indianapolis, IN 46202-5211 | 2019-08-05 |
1952814238 | Center for Implant Denistry and Periodontics, LLC | Dentist | 9885 E 116th St Ste 300, Fishers, IN 46037-9242 | 2017-11-09 |
1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
1538410451 | Eon Clinics Indiana LLC | Dentist | 10020 Calumet Ave, Munster, IN 46321-4055 | 2012-10-02 |
1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
1366697070 | Bruce B. Wiland, Dds, Msd | Dentist | 3415 S Lafountain St Ste K, Kokomo, IN 46902-3827 | 2008-11-21 |
1023267770 | James M. Humphrey | Dentist | 221 S. 19th Street, Terre Haute, IN 47807-4129 | 2008-09-17 |
1891968194 | James Kirk | Dentist | 500 W Lincoln Hwy Ste N, Merrillville, IN 46410 | 2008-04-08 |
1760674642 | James F Bonick | Dentist | 8585 Broadway, Suite 725, Merrillville, IN 46410-7064 | 2007-08-14 |
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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.