NPIMap

Organization Active NPI

96TH Street Family Dentistry LLC

Doing business as Holt Dental

  • General Practice Dentistry
  • Fishers, IN
National Provider Identifier
1124735782
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
96TH STREET FAMILY DENTISTRY LLC
Doing business as
Holt Dental
Practice address
7862 E 96TH St
Fishers, IN 46037-9629
Phone
(317) 576-9393
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Megan Munchel
Title
Regional Manager
Phone
(765) 529-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

7862 E 96TH St
Fishers, IN 46037-9629

Mailing address

340 Parkview Dr
New Castle, IN 47362-2945

Other names 1

  • Holt Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1124735782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PARKVIEW DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379629",
            "telephone_number": "317-576-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "96TH STREET FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "MUNCHEL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "765-529-7616"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holt Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.