Individual provider Active NPI

Robert P Alderman, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Carmel, IN
National Provider Identifier
1306801782
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12011603A Issued in IN
Practice address
14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000
Phone
(317) 569-0033
Fax
(317) 569-0540
NPI assigned
Apr 19, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7978 KY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12011603A IN Primary

Addresses

Primary practice location

14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000

Mailing address

14555 Hazel Dell Pkwy # B
Suite 140
Carmel, IN 46033-7000
Phone (317) 569-0033

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
I20200811002231 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587832167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7978KYMDDentist
12011603AINMDOral and Maxillofacial Surgery (Dentist)

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1306801782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY # B",
            "address_2": "SUITE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-569-0033",
            "fax_number": "317-569-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY # B",
            "address_2": "SUITE 140",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337000",
            "telephone_number": "317-569-0033",
            "fax_number": "317-569-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERMAN",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7978",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.