Individual provider Active NPI

Lauren Eckert, DMD

  • Pediatric Dentistry
  • Fishers, IN
National Provider Identifier
1962256529
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12015023A Issued in IN
Practice address
9126 Technology LN Ste 100
Fishers, IN 46038-3094
Phone
(317) 598-9898
Fax
(317) 596-9659
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12015023A IN Primary

Addresses

Primary practice location

9126 Technology LN Ste 100
Fishers, IN 46038-3094

Mailing address

9126 Technology LN Ste 100
Fishers, IN 46038-3094
Phone (317) 598-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241009000756 MO Order and Referring Only - DentistPractitioner - Dentist 4789115106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1962256529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 TECHNOLOGY LN STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383094",
            "telephone_number": "317-598-9898",
            "fax_number": "317-596-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 TECHNOLOGY LN STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383094",
            "telephone_number": "317-598-9898",
            "fax_number": "317-596-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "LAUREN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12015023A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.