Sonia Alex
Individual provider Active NPI General Practice Dentistry · Fishers, IN
NPI 1598837726 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1598837726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010252A (IN)
- Practice address
- 10438 Olio Rd
Fishers, IN 46040-7500 - Phone
- (317) 336-9922
- Fax
- (317) 336-9925
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150317001506 | IN | Order and Referring Only - Dentist |
7810214509 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010252A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MFDC of Indiana, Inc | General Practice | Past | Accepting new patients |
| Dental Health Associates of in PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010252A | IN | Yes |
Addresses
Primary practice location
10438 Olio Rd
Fishers, IN 46040-7500
Mailing address
10438 Olio Rd
Fishers, IN 46040-7500
Phone (317) 336-9922
Other providers in Fishers, IN
- Anya N Albonetti
- Juanita Yoder Albright
- Andrew W Alcorn
- Kayla Aldridge
- Michael Alequin
- Antoinette Lenise Alexander
- Oula Alhabian
- Ahmed Ali
- Ayad Ali
- Fatima Ali
All providers in Fishers, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.