John W. Adelsperger, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12009942A Issued in IN

Practice address

777 Beachway Dr
Suite 202
Indianapolis, IN 46224-7700

Phone

(317) 297-1007

Fax

(317) 297-7069

NPI assigned

May 24, 2005

Last updated

Feb 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1588667448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD",
            "address_2": "SUITE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382637",
            "telephone_number": "317-845-7878",
            "fax_number": "317-570-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BEACHWAY DR",
            "address_2": "SUITE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462247700",
            "telephone_number": "317-297-1007",
            "fax_number": "317-297-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSPERGER",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009942A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200337060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Adekanmi, APRN
• Victoria I Adekanye
• Aanuoluwapo Adekunle
• Abdulazeez Adekunle
• Rashidat G Adeleye
• Adebisi Isaac Ademakinwa
• Idiat Bolanle Ademuyiwa
• Adeyinka Richard Adeniyi
• Oluwatoyin Adento
• Andrew Adeola

• Oral and Maxillofacial Surgery (Dentist) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.