Individual provider Active NPI

Michael S Dent, M.D.

  • MOHS-Micrographic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1881821585
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
01083501A Issued in IN
Practice address
7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone
(317) 516-5000
Fax
(317) 516-5011
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 129457 FL
MOHS-Micrographic Surgery Physician 207ND0101X 01083501A IN Primary

Addresses

Primary practice location

7910 N Shadeland Ave
Indianapolis, IN 46250-2041

Mailing address

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Other practice location 1

8925 N Meridian St Ste 200
Indianapolis, IN 46260-2385
Phone (619) 906-1189

Other practice location 2

6000 W Highway 98
Naval Hospital Pensacola
Pensacola, FL 32512-0003
Phone (850) 505-6446

Other practice location 3

530 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

Other practice location 4

1200 Gulf Breeze Pkwy Ste A
Gulf Breeze, FL 32561-4855
Phone (800) 423-7546

Other practice location 5

540 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontoffice@dawesfretzin.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618001782 IN Practitioner - Dermatology 6103113014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawes Fretzin Dermatology Group, LLCGroup PAC ID 8820990872, 20 clinicians

Practice addresses (Care Compare)

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Merit-based Incentive Payment System (MIPS)

Final score
85.03 of 100Reported as group
Quality
68.51
Promoting interoperability
94
Improvement activities
40
Cost
86.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision126
Removal of skin lesions361
Removal of skin cancer861
Removal of nail tissue1-10
Removal or shaving of skin growth34
Skin biopsy163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 129457FLMDDermatology Physician
01083501AINMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawes Fretzin Dermatology Group, LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1250 N Post Rd
Ste B
Indianapolis, IN 46219
Phone (317) 898-2197

7910 N Shadeland Ave
Indianapolis, IN 46250

17300 Westfield Blvd
Ste 320
Westfield, IN 46074

Interoperability endpoints

  • Direct secure messaging: mdent@directaddress.net

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1881821585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8925 N Meridian St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602385",
            "country_code": "US",
            "telephone_number": "619-906-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 W Highway 98",
            "address_2": "Naval Hospital Pensacola",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325120003",
            "country_code": "US",
            "telephone_number": "850-505-6446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032019",
            "country_code": "US",
            "telephone_number": "800-243-7546",
            "fax_number": "800-484-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Gulf Breeze Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614855",
            "country_code": "US",
            "telephone_number": "800-423-7546",
            "fax_number": "850-484-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032019",
            "country_code": "US",
            "telephone_number": "800-243-7546",
            "fax_number": "850-484-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENT",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-08-17",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 129457",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01083501A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontoffice@dawesfretzin.com",
            "affiliation": "N",
            "endpointDescription": "Email address for company",
            "address_1": "7910 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.