96th Street Family Dentistry LLC
NPI 1124735782ActiveOrganization· Dentist, General Practice· Fishers, IN
Dentist, General Practice in Fishers, Indiana, registered in NPPES in November 2022. The authorized official on file is Megan Munchel, Regional Manager.
Overview
| NPI | 1124735782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2022 |
| Last updated in NPPES | Nov 3, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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