Individual provider Active NPI

Kelly Spaulding, D.D.S.

  • Dentist
  • Noblesville, IN
National Provider Identifier
1881008399
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012146A Issued in IN
Practice address
298 S 10TH St Ste 100
Noblesville, IN 46060-2741
Phone
(317) 565-1600
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012146A IN Primary

Addresses

Primary practice location

298 S 10TH St Ste 100
Noblesville, IN 46060-2741

Mailing address

298 S 10TH St Ste 100
Noblesville, IN 46060-2741
Phone (317) 565-1600

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
I20160510001319 IN Order and Referring Only - DentistPractitioner - Dentist 6204125545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Creek Dental Care, LLC CurrentSince Apr 24, 2022 Accepting new patients
Indy Dental Group 93Rd, Inc. Past Accepting new patients

Locations

298 S 10th St
Ste 100
Noblesville, IN 46060
Phone (317) 417-1221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1881008399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S 10TH ST STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602741",
            "telephone_number": "317-565-1600",
            "fax_number": "317-565-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S 10TH ST STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602741",
            "telephone_number": "317-565-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "KELLY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.