BDD of Indiana P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BDD OF INDIANA P.C.

Doing business as

Holmes Family and Cosmetic Dentistry

Practice address

10435 Illinois Rd
Fort Wayne, IN 46814-9181

Phone

(260) 469-3671

NPI assigned

Aug 16, 2021

Last updated

Apr 19, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BDD OF INDIANA P.C.As reported in NPPES

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

Authorized official

Name

Jay Jorbin

Title

Cfo

Phone

(312) 805-8590

Specialties & licenses 2

Addresses

Other names 1

• Holmes Family and Cosmetic Dentistry Doing business as

Tax ID family

BDD of Indiana PC5 organizations share this tax ID, including this one

Part of

BDD of Indiana PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• BDD of Indiana P.C.

  dba Hardin Cosmetic & Family Dentistry

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1457026981
  NPD tax ID
• BDD of Indiana P.C.

  dba McCarroll Dental

  • Dentist
  • Saint John, IN
  • NPI 1538834064
  NPD tax ID
• BDD of Indiana P.C.

  dba Beechwood Dental Center

  • Dentist
  • Clarksville, IN
  • NPI 1780359299
  NPD tax ID
• BDD of Indiana, P.C.

  dba Robert C. Scheele D.D.S.

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1245015031
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan K Holmes, D.D.S.

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1386745974
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1366117889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262641",
            "telephone_number": "312-805-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149181",
            "telephone_number": "260-469-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD OF INDIANA P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDD OF INDIANA P.C.",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "JORBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-805-8590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Bayer
• Sydney Erin Bayer, M.ED.
• Loretta Bazur-Persing, NP
• BB Custoria Home Care LLC
• BB's Home Care LLC
• BDD of Indiana, P.C. (Robert C. Scheele D.D.S.)
• BDD RCS PC (Robert C Scheele DDS & Associates)
• Renecer Beachum
• Leona Fay Beachy, FNP
• Amber Beadle

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, 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 Apr 19, 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.