Organization Active NPI

Nancy N. Bolt, DDS PC

  • General Practice Dentistry
  • Brownsburg, IN
National Provider Identifier
1740307685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008249A Issued in IN
Legal business name
NANCY N. BOLT, DDS PC
Practice address
307 N Green St
Brownsburg, IN 46112-1022
Phone
(317) 852-7112
Fax
(810) 815-1715
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy N Bolt, DDSNPI 1720105679
Title
Dentist
Phone
(317) 852-7112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12008249A IN Primary

Addresses

Primary practice location

307 N Green St
Brownsburg, IN 46112-1022

Mailing address

307 N Green St
Brownsburg, IN 46112-1022
Phone (317) 852-7112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740307685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121022",
            "telephone_number": "317-852-7112",
            "fax_number": "810-815-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121022",
            "telephone_number": "317-852-7112",
            "fax_number": "810-815-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY N. BOLT, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-852-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008249A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.