Individual provider Active NPI

Jill Halcarz, D.D.S.

  • General Practice Dentistry
  • Merrillville, IN
National Provider Identifier
1619191657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010445A Issued in IN
Practice address
1000 E 80TH PL Ste 523
Merrillville, IN 46410-5608
Phone
(219) 769-4246
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12010445A IN Primary

Addresses

Primary practice location

1000 E 80TH PL Ste 523
Merrillville, IN 46410-5608

Mailing address

1832 Beech CT
Crown Point, IN 46307-8268
Phone (219) 226-9554

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141030001371 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173744455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010445AINMDGeneral Practice Dentistry

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": "1183852800000",
    "number": "1619191657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 BEECH CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078268",
            "telephone_number": "219-226-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 80TH PL STE 523",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105608",
            "telephone_number": "219-769-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALCARZ",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.