Noah Menaker, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12013182A Issued in IN

Practice address

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Phone

(317) 944-3865

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Charlotte-Mecklenburg Hospital Authority

  • Dentist
  • Charlotte, NC
  • NPI 1104289685

  NC

  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Dentist
  • Charlotte, NC
  • NPI 1114380698

  Pediatric Dentistry

  NPD
• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Wadesboro, NC
  • NPI 1659856060
  NPD

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2019.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1003474040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENAKER",
        "first_name": "NOAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "12013182A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzana Sabaah Memon, MD
• Nibras Hussain Memon, DO
• Kalendi Men
• Mariana Alejandra Mena Latuff, DO
• Michael Menafee, MA
• Cassidy Ann Menard, MD
• Alicia Dolores Mi Esperanza Menchaca, MD
• Ethelbert Menchavez
• Melanie L Mendelsohn, CAA
• Cathy Mendelson, LCSW

• All providers in Indianapolis, IN
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.