Organization Active NPI

Perkins Van Natta Plastic Surgery, P.C.

  • Specialist
  • Carmel, IN
National Provider Identifier
1790743367
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PERKINS VAN NATTA PLASTIC SURGERY, P.C.
Practice address
170 W 106TH St
Carmel, IN 46290-1004
Phone
(317) 575-0330
Fax
(317) 846-5719
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Jenny Mehling
Title
Patient Account Representative
Phone
(317) 663-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

170 W 106TH St
Carmel, IN 46290-1004

Mailing address

170 W 106TH St
Carmel, IN 46290-1004
Phone (317) 575-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000195 IN Part B Supplier - Clinic/Group Practice 6305812959 Receives reassigned benefits from 6 practitioners
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1790743367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0330",
            "fax_number": "317-846-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0330",
            "fax_number": "317-846-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS VAN NATTA PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "MEHLING",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PATIENT ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "317-663-7247"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.