Individual provider Active NPI

Amy Meyer Ploeger, DDS

  • General Practice Dentistry
  • Knightstown, IN
National Provider Identifier
1578637872
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009979 Issued in IN
Practice address
8788 S State Road 109
Box 119
Knightstown, IN 46148-9592
Phone
(765) 345-2188
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 12009979 IN Primary

Addresses

Primary practice location

8788 S State Road 109
Box 119
Knightstown, IN 46148-9592

Mailing address

2891 E 450 S
Rushville, IN 46173-9727
Phone (765) 938-1204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009979INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knightstown Family Dentistry PastSince Dec 1, 2019 Accepting new patients
Major Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1578637872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 E 450 S",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461739727",
            "telephone_number": "765-938-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8788 S STATE ROAD 109",
            "address_2": "BOX 119",
            "city": "KNIGHTSTOWN",
            "state": "IN",
            "postal_code": "461489592",
            "telephone_number": "765-345-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOEGER",
        "first_name": "AMY",
        "middle_name": "MEYER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.