Breann Michele Mundy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12010834A Issued in IN

Practice address

10208 Lantern Rd
Fishers, IN 46037-9705

Phone

(317) 598-4647

NPI assigned

Oct 25, 2006

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

Other names 1

• Dr. Breann Michele Mundy Professional name

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cynthia Schubbe Becker DDS PC

  • General Practice Dentistry
  • Fishers, IN
  • NPI 1457481723
  NPD (past)
• Joel H Wilcox DDS LLC

  • General Practice Dentistry
  • Fishers, IN
  • NPI 1467342428
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1760566541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379705",
            "telephone_number": "317-598-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379705",
            "telephone_number": "317-598-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "BREANN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANN",
            "last_name": "MUNDY",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krista Mullinix, ED.S.
• Miranda Mullis, RBT
• Melinda S Mumford-Dawdy, MD
• Malinda Mundy-Burgett, DDS
• Ashlyn Donn Mundy
• Wendy Murekio
• Leslie E Muse, RD
• Ayla Marie Mushen
• Marwan A. Mustaklem
• Martina F. Mutone, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.