Individual provider Active NPI

Ruta Zekonis, DDS, MSD

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1851456875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010649A Issued in IN
Practice address
4131 Shelby St
Indianapolis, IN 46227-3727
Phone
(317) 784-2955
Fax
(317) 784-2036
NPI assigned
Dec 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 12010649A IN Primary

Addresses

Primary practice location

4131 Shelby St
Indianapolis, IN 46227-3727

Mailing address

3026 Aldwych CT
Greenwood, IN 46143-6942
Phone (317) 422-1605

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
I20151124000512 IN Order and Referring Only - DentistPractitioner - Dentist 4486954492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851456875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 ALDWYCH CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436942",
            "telephone_number": "317-422-1605",
            "fax_number": "317-534-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273727",
            "telephone_number": "317-784-2955",
            "fax_number": "317-784-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKONIS",
        "first_name": "RUTA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010649A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.