Individual provider Active NPI

Natalie Anne Muir Eden, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fishers, IN
National Provider Identifier
1316179658
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12011329A Issued in IN
Practice address
10972 Allisonville Rd
Suite 100
Fishers, IN 46038-2638
Phone
(317) 845-7878
Fax
(317) 570-7193
NPI assigned
Aug 20, 2009
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12011329A IN Primary

Addresses

Primary practice location

10972 Allisonville Rd
Suite 100
Fishers, IN 46038-2638

Mailing address

10972 Allisonville Rd
Suite 100
Fishers, IN 46038-2638
Phone (317) 845-7878

Other names 1

  • Dr. Natalie Anne Muir Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001060 IN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6103066774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Indiana University School of Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Oral and Maxillofacial Surgery Associates PCGroup PAC ID 9335157254, 11 clinicians

Practice addresses (Care Compare)

10972 Allisonville Rd
Suite 100
Fishers, IN 46038-2639
Phone (317) 845-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011329AINMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Oral & Maxillofacial Surgery Associates PC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2017 Accepting new patients

Locations

10972 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 845-7878

10972 Allisonville Rd
Ste 110
Fishers, IN 46038
Phone (317) 845-7878

8445 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 882-1284

9240 N Meridian St
Ste 300
Indianapolis, IN 46260
Phone (317) 815-1213

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1316179658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD",
            "address_2": "SUITE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382638",
            "telephone_number": "317-845-7878",
            "fax_number": "317-570-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD",
            "address_2": "SUITE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382638",
            "telephone_number": "317-845-7878",
            "fax_number": "317-570-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "NATALIE",
        "middle_name": "ANNE MUIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011329A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "MUIR",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.