Active NPI
Zane Montefalco, DMD
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1750066064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12014645A
- Practice address
- 4720 Quails Nest Dr
Indianapolis, IN 46237-2962 - Phone
- (317) 442-6727
- NPI assigned
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109219 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 12014645A | IN | Primary |
Addresses
Primary practice location
4720 Quails Nest Dr
Indianapolis, IN 46237-2962
Mailing address
4720 Quails Nest Dr
Indianapolis, IN 46237-2962
Phone (317) 442-6727
Other practice location 1
1330 Chapala St Unit 213
Santa Barbara, CA 93101-3196
Phone (317) 442-6727
Other practice location 2
33 W Mission St Ste 102
Santa Barbara, CA 93101-2455
Phone (317) 442-6727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109219 | CA | MD | Dentist |
| 12014645A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1750066064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 QUAILS NEST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372962",
"telephone_number": "317-442-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 QUAILS NEST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372962",
"telephone_number": "317-442-6727"
}
],
"practiceLocations": [
{
"address_1": "1330 Chapala St Unit 213",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931013196",
"country_code": "US",
"telephone_number": "317-442-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33 W Mission St Ste 102",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931012455",
"country_code": "US",
"telephone_number": "317-442-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTEFALCO",
"first_name": "ZANE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109219",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12014645A",
"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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.