Active NPI
Nancy Z Halsema, D.D.S.
- General Practice Dentistry
- Carmel, IN
National Provider Identifier
1043363971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007944A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0612130996 | Other | IN | HEALTH RESOURCES INC |
| 691961 | Other | IN | UNITED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12007944A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Carmel, IN
- NPI 1235410770
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1770142598
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.