Individual provider Active NPI

Nancy Z Halsema, D.D.S.

  • General Practice Dentistry
  • Carmel, IN
National Provider Identifier
1043363971
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007944A Issued in IN
Practice address
3965 W 106TH St
Suite 100
Carmel, IN 46032-7750
Phone
(317) 253-8631
Fax
(317) 876-9715
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007944A IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3965 W 106TH St
Suite 100
Carmel, IN 46032-7750

Mailing address

3965 W 106TH St
Suite 100
Carmel, IN 46032-7750
Phone (317) 253-8631

Other identifiers 2

IdentifierTypeStateIssuer
0612130996OtherINHEALTH RESOURCES INC
691961OtherINUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12007944AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel West Dental Sleep Therapy LLC Durable Medical Equipment & Medical Supplies Past Accepting new patients
Nancy Z. Halsema, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1043363971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 W 106TH ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327750",
            "telephone_number": "317-253-8631",
            "fax_number": "317-876-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 W 106TH ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327750",
            "telephone_number": "317-253-8631",
            "fax_number": "317-876-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEMA",
        "first_name": "NANCY",
        "middle_name": "Z",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007944A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH RESOURCES INC",
            "identifier": "0612130996",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "691961",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.