Zionsville Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010176A Issued in IN

Legal business name

ZIONSVILLE PEDIATRIC DENTISTRY

Practice address

55 Brendon Way
Suite 500
Zionsville, IN 46077-1961

Phone

(317) 873-4186

Fax

(317) 873-1034

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Annekeffer McHenry, DDS,MSDNPI 1518035088

Title

President

Phone

(317) 873-4186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa A McHenry, DDS,MSD

  • Pediatric Dentistry
  • Zionsville, IN
  • NPI 1518035088
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972704716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "SUITE 500",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-873-4186",
            "fax_number": "317-873-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "SUITE 500",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-873-4186",
            "fax_number": "317-873-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIONSVILLE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNEKEFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-873-4186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010176A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zionsville Family Chiropractic
• Zionsville Family Practice
• Zionsville Holistic Chiropractic
• Zionsville OB/GYN
• Zionsville Orthodontics, P.C.
• Zionsville Presbyterian Church (The Cabin A Family Counseling & Resource Center)
• Zionsville Volunteer Fire Department

• Pediatric Dentistry in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.