Active NPI
Ian David Sponseller, DDS
- Dentist
- Indianapolis, IN
National Provider Identifier
1720990328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12015148A
- Practice address
- 2291 N Meridian St
Indianapolis, IN 46208-5727 - Phone
- (317) 926-5467
- NPI assigned
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12015148A | IN | Primary |
Addresses
Primary practice location
2291 N Meridian St
Indianapolis, IN 46208-5727
Mailing address
3115 N Meridian St Apt H
Indianapolis, IN 46208-5299
Phone (812) 483-4402
Other practice location 1
2236 N Mitthoefer Rd
Indianapolis, IN 46229-1791
Phone (317) 897-5093
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1720990328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 N MERIDIAN ST APT H",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085299",
"telephone_number": "812-483-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2291 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462085727",
"telephone_number": "317-926-5467"
}
],
"practiceLocations": [
{
"address_1": "2236 N Mitthoefer Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462291791",
"country_code": "US",
"telephone_number": "317-897-5093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPONSELLER",
"first_name": "IAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12015148A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.