Active NPI
Michelle Halum Edwards, DDS, MSD
- Pediatric Dentistry
- Fishers, IN
National Provider Identifier
1811031040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12010350A
- Practice address
- 9865 E 116TH St
100
Fishers, IN 46037-9231 - Phone
- (317) 842-8453
- Fax
- (317) 842-8741
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12010350A | IN | Primary |
Addresses
Primary practice location
9865 E 116TH St
100
Fishers, IN 46037-9231
Mailing address
6490 Timber Walk Dr
Indianapolis, IN 46236-7725
Phone (317) 826-8663
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 |
|---|---|---|---|
| 12010350A | IN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811031040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6490 TIMBER WALK DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462367725",
"telephone_number": "317-826-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9865 E 116TH ST",
"address_2": "100",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379231",
"telephone_number": "317-842-8453",
"fax_number": "317-842-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MICHELLE",
"middle_name": "HALUM",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12010350A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.