Alyssa B. Stickley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011826A Issued in IN

Practice address

70 E 91St St
Suite 103
Indianapolis, IN 46240-1561

Phone

(317) 844-6000

Fax

(317) 844-7321

NPI assigned

Jun 13, 2012

Last updated

Sep 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alyssa B Stickley DDS, LLC

  dba Danville Family Dentistry

  • Dental Clinic/Center
  • Danville, IN
  • NPI 1013668433
  NPD Authorized official
• Alyssa Stickley DDS PC

  • General Practice Dentistry
  • Danville, IN
  • NPI 1811656564
  NPD Authorized official
• Mary Ellen Snyder, DDS, PC

  dba Snyder and Associates

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1962085985
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1609138775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST",
            "address_2": "SUITE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401561",
            "telephone_number": "317-844-6000",
            "fax_number": "317-844-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST",
            "address_2": "SUITE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401561",
            "telephone_number": "317-844-6000",
            "fax_number": "317-844-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLEY",
        "first_name": "ALYSSA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011826A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanette Stewart
• Tonya Renee Stewart, DDS
• Kathryn Stibley, MD
• Mark Stice
• Ellie Stichter, PHARMD
• Robin Stickney, MD
• Skylar Stidam
• Heather Marie Stidd, PA-C
• Dawn D Stidham, NP
• Beth A. Stiers

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.