Individual provider Active NPI

Caeb Andrew Onken, DDS

  • General Practice Dentistry
  • Lafayette, IN
National Provider Identifier
1427789536
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013781A Issued in IN
Practice address
38 N 23Rd St
Lafayette, IN 47904-3004
Phone
(765) 447-0959
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 12013781A IN Primary

Addresses

Primary practice location

38 N 23Rd St
Lafayette, IN 47904-3004

Mailing address

38 N 23Rd St
Lafayette, IN 47904-3004
Phone (765) 447-0959

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
I20260319003603 IN Practitioner - Dentist 2264916006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1716 Hartford St
Lafayette, IN 47904-2168

9425 Delegates Row
Indianapolis, IN 46240-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013781AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc CurrentSince Mar 10, 2026 Accepting new patients
John S Jorczak & Daniel E Sakel PTR General Practice PastSince Jun 26, 2022 Accepting new patients

Locations

1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567

1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567

Organizations & group practices 2

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1427789536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N 23RD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043004",
            "telephone_number": "765-447-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N 23RD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043004",
            "telephone_number": "765-447-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONKEN",
        "first_name": "CAEB",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013781A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.