BACSA DENTAL PC (NPI# 1912139841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139841 |
| Entity Type | Organization |
| Organization Name | BACSA DENTAL PC |
| Other Organization Name | EMERSON AVENUE DETNAL |
| Practice Address |
4625 S Emerson Ave Indianapolis IN 46203-5972 |
| Mailing Address |
8805 Knotty Pine Ct Indianapolis IN 46227-9764 |
| Practice Telephone | 3177845555 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | DR. TIMOTHY BACSA (PRESIDENT) |
| Authorized Official Telephone | 3172580309 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 12010741A | IN | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Emerson Avenue Detnal | Doing Business As Name - Organization |
| Street Address |
4625 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124131826 | Terry Joe Tolle | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-08-16 |
| 1760027890 | Kids & Adult Dental Care Inc | Clinic/Center | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-13 |
| 1689218224 | Aspen Michelle Holmes | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-06 |
| 1093214793 | Hank Havlin | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2018-02-08 |
| 1881977288 | Steven Ryan Hart | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2011-09-21 |
| 1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
| 1609190842 | Indy Pain & Injury Centers LLC | Family Medicine | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2010-03-17 |
| 1023253861 | Health1st of Indy South | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2008-12-09 |
| 1831235001 | Charles Dennis Maloney | Plastic Surgery | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2007-01-29 |
| 1497839450 | Billy Lee Walker Jr. | Physician Assistant | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1902343346 | Count On Me Senior Care | Preferred Provider Organization | 359 Creekbend Ln, Indianapolis, IN 46217-2720 | 2017-01-24 |
| 1679965263 | Life Solutions South of Indiana | Preferred Provider Organization | 120 E Market St, Indianapolis, IN 46204-3250 | 2015-02-19 |
| 1326318486 | Mercho Medical Service Inc | Preferred Provider Organization | 1311 N. Arlington Avenue, Suite 108, Indianapolis, IN 46219-3260 | 2012-01-06 |
| 1225262702 | Essential Development Corporation | Preferred Provider Organization | 1426 W 29th St Ste 209, Indianapolis, IN 46208-4993 | 2009-05-12 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1013029321 | Central Seniors Inc | Preferred Provider Organization | 7399 N Shadeland Ave, #125, Indianapolis, IN 46250-2052 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313642 | David C. Wood, D.d.s., LLC | Preferred Provider Organization | 266 Medical Dr, Carmel, IN 46032-2944 | 2016-05-07 |
| 1457649857 | Divine Chiropractic LLC | Preferred Provider Organization | 404 North John F Kennedy Avenue, Loogootee, IN 47553 | 2011-07-19 |
| 1265666382 | Monon Volunteer Fire Dept Inc | Preferred Provider Organization | 103 E Third St, Monon, IN 47959 | 2009-05-04 |
| 1609018522 | Synapse Neutomonitoring Inc | Preferred Provider Organization | 1365 N Manchester Dr, Greenfield, IN 46140-7764 | 2009-03-25 |
| 1891907903 | Journeys Counseling Center, LLC | Preferred Provider Organization | 10182 Ranford Blvd, Fortville, IN 46040-1474 | 2007-05-03 |
| 1255717310 | Heroh Chiropractic Lifestyle Center PC | Preferred Provider Organization | 10412 Allisonville Rd, Ste 203, Fishers, IN 46038-2052 | 2015-07-30 |
| 1932502507 | Aboite Family Eyecare Center | Preferred Provider Organization | 7625 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2014-09-26 |
| 1649692518 | Pinnacle Chiropractic & Wellness LLC | Preferred Provider Organization | 10126 Brooks School Rd, Fishers, IN 46037-9575 | 2014-01-13 |
| 1750538690 | K.c. Schneider D.d.s. P.C. | Preferred Provider Organization | 8928 E 96th St, Fishers, IN 46037-9648 | 2008-08-22 |
| 1922264597 | Gibson County Chiropractic, LLC | Preferred Provider Organization | 116 N Main St, Princeton, IN 47670-1540 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
Please comment or provide details below to improve the information on BACSA DENTAL PC.
| 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.