Individual provider Active NPI

Julia Santi, DDS

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1992909410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010969 Issued in IN
Practice address
11683 Fox Rd
Indianapolis, IN 46236-8423
Phone
(317) 826-4347
Fax
(317) 826-9790
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12010969 IN Primary

Addresses

Primary practice location

11683 Fox Rd
Indianapolis, IN 46236-8423

Mailing address

11683 Fox Rd
Indianapolis, IN 46236-8423
Phone (317) 826-4347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12010969INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Dental Care of Indiana, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992909410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11683 FOX RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368423",
            "telephone_number": "317-826-4347",
            "fax_number": "317-826-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11683 FOX RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368423",
            "telephone_number": "317-826-4347",
            "fax_number": "317-826-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTI",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.