Individual provider Active NPI

Ronia Aasar

  • Dentist
  • Anderson, IN
National Provider Identifier
1871022053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012750A Issued in IN
Practice address
777 Broadway St Ste B
Anderson, IN 46012-2959
Phone
(765) 642-3124
Fax
(765) 642-1095
NPI assigned
Jun 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012750A IN Primary

Addresses

Primary practice location

777 Broadway St Ste B
Anderson, IN 46012-2959

Mailing address

777 Broadway St Ste B
Anderson, IN 46012-2959
Phone (765) 642-3124

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
I20171010001938 IN Order and Referring Only - DentistPractitioner - Dentist 6800161316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Rescue Dental Current Accepting new patients
Dental Professionals of Indiana, P.C. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871022053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BROADWAY ST STE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122959",
            "telephone_number": "765-642-3124",
            "fax_number": "765-642-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BROADWAY ST STE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122959",
            "telephone_number": "765-642-3124",
            "fax_number": "765-642-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AASAR",
        "first_name": "RONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.