SUSAN DRAHEIM (NPI# 1922218395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922218395 |
| Entity Type | Individual |
| Full Name | SUSAN DRAHEIM |
| Credential | DDS |
| Practice Address |
716 Russell Ave Indianapolis IN 46225-1216 |
| Practice Telephone | 3176841997 |
| Practice Fax Number | 3176841994 |
| Mailing Telephone | 3176841997 |
| Mailing Fax Number | 3176841994 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IN12009465 | IN | Dental Providers |
| Street Address |
716 RUSSELL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46225-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126616 | Jerry R Svendsen | Physical Therapist | 426 S Alabama St Ste 200, Indianapolis, IN 46225 | 2006-06-01 |
| 1053971564 | Daniel Huckstep | Physical Therapist | 426 S Alabama St Ste 200, Indianapolis, IN 46225 | 2019-06-17 |
| 1497195697 | William Anthony Davis II | Family Medicine | 426 S Alabama St, Indianapolis, IN 46225 | 2013-07-02 |
| 1750623583 | Catherine Marie Reese | Family Medicine | 426 S Alabama St Ste 100, Indianapolis, IN 46225 | 2013-03-19 |
| 1902968381 | Carolyn Kay Adams | Nurse Practitioner | 200 S Meridian, Ste 400, Indianapolis, IN 46225 | 2006-12-14 |
| 1295897486 | Jacqueline Sue Pierson | Nurse Practitioner | 200 S Meridian, Ste 400, Indianapolis, IN 46225 | 2006-12-14 |
| 1275536096 | Med-equip, LLC | Durable Medical Equipment & Medical Supplies | 238 S Meridian St, Ste 205, Indianapolis, IN 46225-1024 | 2005-05-24 |
| 1235190455 | Jason L. Palmer | Specialist/Technologist | 501 W Maryland St, Indianapolis, IN 46225-1041 | 2006-03-29 |
| 1265467740 | Nordstrom Inc | Prosthetic/Orthotic Supplier | 130 S Meridian St, Indianapolis, IN 46225-1046 | 2006-07-12 |
| 1972591295 | Marilyn A Loe | Nurse Practitioner | 200 S Meridian St, Indianapolis, IN 46225-1055 | 2005-10-11 |
| Find all providers in zip 46225 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1932766508 | Brooke Nichole Scott | Dentist | 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 | 2019-05-20 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1639652126 | Gh Dental | Dentist | 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 | 2018-09-11 |
| 1326533068 | Bryce Ashton Chambers | Dentist | 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 | 2018-06-26 |
| 1932694528 | Mfdc of Indiana, Inc | Dentist | 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 | 2018-06-26 |
| 1306331905 | Mfdc of Indiana, Inc | Dentist | 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 | 2018-06-26 |
| 1376037853 | Decatur Family Dentistry LLC | Dentist | 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 | 2018-06-19 |
| 1215420252 | Wesley Kenn Burcham | Dentist | 1481 W 10th St # 160, Indianapolis, IN 46202 | 2018-06-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46225 |
Please comment or provide details below to improve the information on SUSAN DRAHEIM.
| 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.