Individual provider Active NPI

Donald R Helfert, DDS

  • General Practice Dentistry
  • Avon, IN
National Provider Identifier
1477855351
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011530A Issued in IN
Practice address
10944 East US Highway 36
Avon, IN 46123-7890
Phone
(765) 702-9888
NPI assigned
Nov 25, 2010
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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 12011530A IN Primary

Addresses

Primary practice location

10944 East US Highway 36
Avon, IN 46123-7890

Mailing address

10944 East US Highway 36
Avon, IN 46123-7890
Phone (765) 702-9888

Other identifiers 1

IdentifierTypeStateIssuer
12011530AOtherININDIANA STATE LICENSE

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
I20240618002195 IN Practitioner - Dentist 6406144526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011530AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Access Urgent Care LLC Current Accepting new patients
Aria Dental Care PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

200 Byrd Way
Ste 205
Greenwood, IN 46143

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

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": "1290643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1477855351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10944 EAST US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237890",
            "telephone_number": "765-702-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10944 EAST US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237890",
            "telephone_number": "765-702-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELFERT",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-25",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011530A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "12011530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.