Individual provider Active NPI

Steven William Bollinger, DDS

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1982990594
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011632A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522002218 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082934559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011632AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.