Individual provider Active NPI

Michael Steven Vibbert, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1265471759
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007741A Issued in IN
Practice address
7301 Georgetown Rd
Suite 113
Indianapolis, IN 46268-5124
Phone
(317) 802-0649
Fax
(317) 802-0652
NPI assigned
Jun 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007741A IN Primary

Addresses

Primary practice location

7301 Georgetown Rd
Suite 113
Indianapolis, IN 46268-5124

Mailing address

7301 Georgetown Rd
Suite 113
Indianapolis, IN 46268-5124
Phone (317) 802-0649

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12007741AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Vibbert DDS PC CurrentSince Nov 8, 2020 Accepting new patients

Locations

7301 Georgetown Rd
Ste 113
Indianapolis, IN 46268
Phone (317) 802-0649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265471759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD",
            "address_2": "SUITE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462685124",
            "telephone_number": "317-802-0649",
            "fax_number": "317-802-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GEORGETOWN RD",
            "address_2": "SUITE 113",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462685124",
            "telephone_number": "317-802-0649",
            "fax_number": "317-802-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBBERT",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007741A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.