Individual provider Active NPI

Cami L Hovda, DDS

  • General Practice Dentistry
  • Carmel, IN
National Provider Identifier
1376554634
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010707 Issued in IN
Practice address
715 W Carmel Dr
Suite 103
Carmel, IN 46032-5806
Phone
(317) 844-0022
Fax
(317) 844-0021
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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 12010707 IN Primary

Addresses

Primary practice location

715 W Carmel Dr
Suite 103
Carmel, IN 46032-5806

Mailing address

715 W Carmel Dr
Suite 103
Carmel, IN 46032-5806
Phone (317) 844-0022

Other identifiers 1

IdentifierTypeStateIssuer
200306720MedicaidIN

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
I20151203001296 IN Order and Referring Only - DentistPractitioner - Dentist 3870893415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010707INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1376554634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325806",
            "telephone_number": "317-844-0022",
            "fax_number": "317-844-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325806",
            "telephone_number": "317-844-0022",
            "fax_number": "317-844-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVDA",
        "first_name": "CAMI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200306720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.