Active NPI
Makenzie Jane Myers, DDS
- Dentist
- Indianapolis, IN
National Provider Identifier
1548173933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12015055A
- Practice address
- 1121 W Michigan St
Indianapolis, IN 46202-5211 - Phone
- (317) 274-7433
- NPI assigned
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12015055A | IN | Primary |
Addresses
Primary practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Mailing address
5410 Winthrop CT
Evansville, IN 47715-4281
Phone (812) 618-5315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1548173933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 WINTHROP CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154281",
"telephone_number": "812-618-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W MICHIGAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025211",
"telephone_number": "317-274-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MAKENZIE",
"middle_name": "JANE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12015055A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.