Individual provider Active NPI

Gregg W. Horstmeyer, D.D.S.

  • Dentist
  • Anderson, IN
National Provider Identifier
1245453893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12008398A Issued in IN
Practice address
2038 Broadway St
Anderson, IN 46012-1603
Phone
(765) 644-4343
Fax
(765) 644-4709
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12008398A IN Primary

Addresses

Primary practice location

2038 Broadway St
Anderson, IN 46012-1603

Mailing address

2038 Broadway St
Anderson, IN 46012-1603
Phone (765) 644-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160526002159 IN Order and Referring Only - DentistPractitioner - Dentist 6901196385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg W. Horstmeyer, DDS, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245453893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 BROADWAY ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460121603",
            "telephone_number": "765-644-4343",
            "fax_number": "765-644-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 BROADWAY ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460121603",
            "telephone_number": "765-644-4343",
            "fax_number": "765-644-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMEYER",
        "first_name": "GREGG",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.