FISHERS PEDIATRIC DENTISTRY (NPI# 1295815835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295815835 |
| Entity Type | Organization |
| Organization Name | FISHERS PEDIATRIC DENTISTRY |
| Practice Address |
9124 Technology Dr Suite 100 Fishers IN 46038-3064 |
| Practice Telephone | 3175989898 |
| Practice Fax Number | 3175969659 |
| Mailing Telephone | 3175989898 |
| Mailing Fax Number | 3175969659 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KERRI RUMMELL (FRONT OFFICE COORDINATOR) |
| Authorized Official Telephone | 3175989898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12009305B | IN | Dental Providers |
| Street Address |
9124 TECHNOLOGY DR SUITE 100 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225048572 | Julia Alex Shalit | Dentist | 9124 Technology Dr, Suite 200, Fishers, IN 46038-3064 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780942060 | Laura Goode | Dentist | 9126 Technology Ln Ste 100, Fishers, IN 46038-3094 | 2012-04-24 |
| 1477753473 | Ana H Vazquez | Dentist | 9126 Technology Lane, Suite 100, Fishers, IN 46038 | 2007-07-19 |
| 1134245186 | Jennifer Kugar | Dentist | 11501 Cumberland Rd, Suite 600, Fishers, IN 46037-7005 | 2007-03-21 |
| 1811031040 | Michelle Halum Edwards | Dentist | 9865 E 116th St, 100, Fishers, IN 46037-9231 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| 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.