Jayme McCormick Norris, DDS

Individual provider Active NPI Pediatric Dentistry · Indianapolis, IN

NPI 1144679291 · NPPES record last updated Aug 16, 2017

Key facts

NPI
1144679291
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
12012488A (IN)
Practice address
705 Riley Hospital Dr
Ri 4205
Indianapolis, IN 46202-5109
Phone
(317) 948-5238
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12012488AINMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jnorris@unionhealth.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12012488A IN Yes

Addresses

Primary practice location

705 Riley Hospital Dr
Ri 4205
Indianapolis, IN 46202-5109

Mailing address

705 Riley Hospital Dr
Ri 4205
Indianapolis, IN 46202-5109

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Pediatric Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.