Individual provider Active NPI

Cynthia L. Hovey, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1902808280
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009667A Issued in IN
Practice address
303 N Alabama St
Ste 270
Indianapolis, IN 46204-2152
Phone
(317) 637-4636
Fax
(317) 637-4403
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 12009667A IN Primary

Addresses

Primary practice location

303 N Alabama St
Ste 270
Indianapolis, IN 46204-2152

Mailing address

6103 Clearview Dr
Carmel, IN 46033-8270
Phone (317) 580-0426

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
I20150318000619 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264759901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009667AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey Tabor Williams, DMD, PC General Practice Past Accepting new patients
Tracey Tabor Williams, DMD, PA Past 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1902808280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 CLEARVIEW DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338270",
            "telephone_number": "317-580-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ALABAMA ST",
            "address_2": "STE 270",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042152",
            "telephone_number": "317-637-4636",
            "fax_number": "317-637-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVEY",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009667A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.