Active NPI
Steven William Bollinger, DDS
- General Practice Dentistry
- Columbus, IN
National Provider Identifier
1982990594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12011632A
- Practice address
- 2145 W Jonathan Moore Pike
Columbus, IN 47201-9081 - Phone
- (812) 799-1115
- Fax
- (812) 799-1268
- NPI assigned
- Jun 22, 2011
- Last updated
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011632A | IN | Primary |
| General Practice Dentistry | 1223G0001X | 11048 | KY |
Addresses
Primary practice location
2145 W Jonathan Moore Pike
Columbus, IN 47201-9081
Mailing address
2145 W Jonathan Moore Pike
Columbus, IN 47201-9081
Phone (812) 799-1115
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150522002218 | IN | Order and Referring Only - Oral Surgery | 4082934559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011632A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellettsville Dental Center, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Ellettsville, IN
- NPI 1063515914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1982990594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 W JONATHAN MOORE PIKE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472019081",
"telephone_number": "812-799-1115",
"fax_number": "812-799-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 W JONATHAN MOORE PIKE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472019081",
"telephone_number": "812-799-1115",
"fax_number": "812-799-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "STEVEN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011632A",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "11048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.