Individual provider Active NPI

David Bender, DDS

  • Dentist
  • Fishers, IN
National Provider Identifier
1609090539
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010487 Issued in IN
Practice address
13578 E 131St St
Suite 103
Fishers, IN 46037-6400
Phone
(317) 773-5833
Fax
(317) 773-5991
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12010487 IN Primary

Addresses

Primary practice location

13578 E 131St St
Suite 103
Fishers, IN 46037-6400

Mailing address

13578 E 131St St
Suite 103
Fishers, IN 46037-6400
Phone (317) 773-5833

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
12010487INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arora LLC Current Accepting new patients
Remedy Dental Network PastSince Sep 15, 2024 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1609090539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST",
            "address_2": "SUITE 103",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376400",
            "telephone_number": "317-773-5833",
            "fax_number": "317-773-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST",
            "address_2": "SUITE 103",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376400",
            "telephone_number": "317-773-5833",
            "fax_number": "317-773-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.