Individual provider Active NPI

Mark E Kesler, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1932214590
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010450 Issued in IN
Practice address
7373 E 21St St
Indianapolis, IN 46219-1753
Phone
(317) 357-7373
Fax
(317) 353-2330
NPI assigned
Aug 21, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 12010450 IN Primary

Addresses

Primary practice location

7373 E 21St St
Indianapolis, IN 46219-1753

Mailing address

10430 Woods Edge Dr
Fishers, IN 46037
Phone (317) 845-0997

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
I20160318001568 IN Order and Referring Only - DentistPractitioner - Dentist 0345547303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010450INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Kesler, D.D.S., P.C. General Practice CurrentSince Aug 6, 2023 Accepting new patients
Mark Kesler, D.D.S., P.C. General Practice CurrentSince Aug 6, 2023 Accepting new patients

Locations

7373 E 21st St
Indianapolis, IN 46219
Phone (317) 357-7373

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1932214590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 WOODS EDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46037",
            "telephone_number": "317-845-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 E 21ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191753",
            "telephone_number": "317-357-7373",
            "fax_number": "317-353-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLER",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.