ANDREA TANTENGCO HERNANDEZ DMD
NPI 1043959042
Dentist - Prosthodontics in Indianapolis, IN

Active since May 31, 2022PECOS Enrolled
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 702-2058 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Tantengco Hernandez Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA TANTENGCO HERNANDEZ DMD (NPI 1043959042) is an individual prosthodontics provider in Indianapolis, Indiana, licensed in Indiana (LDR200264) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043959042
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameANDREA TANTENGCO HERNANDEZCredential: DMD
Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211
Mailing Address815 Lockefield St Apt GIndianapolis, IN 46202-2936 · (317) 702-2058
Sole ProprietorNo
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
NPI 1043959042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in IN · LDR200264
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LDR200264 (IN)
1121 W MICHIGAN ST, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Tantengco Hernandez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN ST, ROOM 285
INDIANAPOLIS, IN 46202
Dentist (Periodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, INDIANA UNIVERSITY SSCHOOL OF DENTISTRY RM 235
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST, ROOM S 110
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN ST, ROOM 285B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Hernandez's NPI number?

The NPI number for Andrea Hernandez is 1043959042. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Andrea Hernandez located?

Andrea Hernandez practices at 1121 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 702-2058.

What is Andrea Hernandez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Andrea Hernandez enrolled in Medicare?

Yes. Andrea Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Hernandez was last updated on May 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.