Individual provider Active NPI

Jenny Kearschner, DDS

  • Dentist
  • Greenwood, IN
National Provider Identifier
1255594883
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011168A Issued in IN
Practice address
601 Library Park Dr
Suite B-1
Greenwood, IN 46142-1562
Phone
(317) 882-8899
Fax
(317) 882-2260
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011168A IN Primary

Addresses

Primary practice location

601 Library Park Dr
Suite B-1
Greenwood, IN 46142-1562

Mailing address

601 Library Park Dr
Suite B-1
Greenwood, IN 46142-1562
Phone (317) 882-8899

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
I20150610001725 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769703123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011168AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1255594883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LIBRARY PARK DR",
            "address_2": "SUITE B-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421562",
            "telephone_number": "317-882-8899",
            "fax_number": "317-882-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LIBRARY PARK DR",
            "address_2": "SUITE B-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421562",
            "telephone_number": "317-882-8899",
            "fax_number": "317-882-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARSCHNER",
        "first_name": "JENNY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011168A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.