Individual provider Active NPI

Jessica J. Sinclair, DDS

  • General Practice Dentistry
  • North Vernon, IN
National Provider Identifier
1295949691
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010661A Issued in IN
Practice address
304 Norris Ave
North Vernon, IN 47265-2343
Phone
(812) 346-8000
Fax
(812) 346-3990
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 12010661A IN Primary

Addresses

Primary practice location

304 Norris Ave
North Vernon, IN 47265-2343

Mailing address

304 Norris Ave
North Vernon, IN 47265-2343
Phone (812) 346-8000

Other practice location 1

324 W 2nd St
Seymour, IN 47274-2199
Phone (812) 522-8608

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
I20180124000601 IN Order and Referring Only - DentistPractitioner - Dentist 5698034437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010661AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
D Matthew Pierce DDS LLC General Practice Past Accepting new patients
Donald a. Cummings, D.D.S., P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295949691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NORRIS AVE",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472652343",
            "telephone_number": "812-346-8000",
            "fax_number": "812-346-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NORRIS AVE",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472652343",
            "telephone_number": "812-346-8000",
            "fax_number": "812-346-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472742199",
            "country_code": "US",
            "telephone_number": "812-522-8608",
            "fax_number": "812-523-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "JESSICA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.