Individual provider Active NPI

Robert Philp Indyk, D.M.D.

  • Endodontics
  • Norwalk, CT
National Provider Identifier
1992763072
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5522 Issued in CT
Practice address
83 East Ave
Suite 205
Norwalk, CT 06851-4902
Phone
(203) 866-2812
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5522 CT Primary

Addresses

Primary practice location

83 East Ave
Suite 205
Norwalk, CT 06851-4902

Mailing address

83 East Ave
Suite 205
Norwalk, CT 06851-4902
Phone (203) 866-2812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160322000660 CT Order and Referring Only - DentistPractitioner - Dentist 6103123971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5522CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992763072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "address_2": "SUITE 205",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514902",
            "telephone_number": "203-866-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAST AVE",
            "address_2": "SUITE 205",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514902",
            "telephone_number": "203-866-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDYK",
        "first_name": "ROBERT",
        "middle_name": "PHILP",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "5522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.