Individual provider Active NPI

Amy J Wadas, DDS

  • General Practice Dentistry
  • Munster, IN
National Provider Identifier
1801971684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009926A Issued in IN
Practice address
9307 Calumet Ave
D2
Munster, IN 46321-2891
Phone
(219) 836-2910
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009926A IN Primary

Addresses

Primary practice location

9307 Calumet Ave
D2
Munster, IN 46321-2891

Mailing address

9307 Calumet Ave
D2
Munster, IN 46321-2891
Phone (219) 836-2910

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161229001043 IN Order and Referring Only - DentistPractitioner - Dentist 2365760956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009926AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wadas Dental & Associates, Inc. General Practice PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801971684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 CALUMET AVE",
            "address_2": "D2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212891",
            "telephone_number": "219-836-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 CALUMET AVE",
            "address_2": "D2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212891",
            "telephone_number": "219-836-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADAS",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009926A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.