Janos T. Fullop, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010443A Issued in IN

Practice address

803 E 4TH St
Mount Vernon, IN 47620-2012

Phone

(812) 838-4841

Fax

(812) 838-4844

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1346290764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 4TH ST",
            "address_2": "P.O. BOX 673",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-838-4841",
            "fax_number": "812-838-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-838-4841",
            "fax_number": "812-838-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLOP",
        "first_name": "JANOS",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010443A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "320157425",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Dunn
• William Wayne Etherton Jr., PT
• Ann Marie Fisher, COTA
• Hayden C Folz, DPT
• Leigh Ann Fromm, PMHNP, FNP
• Darlene Ghrist
• Megan E Ghrist, DPT
• Alex Godinez, PTA
• Valerie Hamilton
• Betty Dianne Hinderliter, RN

• General Practice Dentistry in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.