DR. SANDRA E BACON DDS
NPI 1164539318
Dentist - General Practice in Carmel, IN

Q: What is Sandra Bacon's NPI number?

The NPI number for Sandra Bacon is 1164539318. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Sandra Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Bacon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2006PECOS Enrolled

1980 E 116TH STREET, STE 150, CARMEL, IN 46032(317) 848-1771(317) 848-1371 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sandra E Bacon Dds NPPES

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

DR. SANDRA E BACON DDS (NPI 1164539318) is an individual general practice provider in Carmel, Indiana, licensed in Indiana (12009028) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164539318

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SANDRA E BACONCredential: DDS

Location Address1980 E 116TH STREET, STE 150Carmel, IN 46032

Mailing Address1980 E 116th Street, Ste 150Carmel, IN 46032 · (317) 848-1771 · Fax (317) 848-1371

Phone(317) 848-1771

Fax(317) 848-1371

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1164539318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12009028

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1980 E 116TH STREET, Carmel, IN 46032

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Other Identifiers 1

Other12009028BIN · In Board Of Pharmacy Csr

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra E Bacon Dds 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 46032 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.

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 Sandra Bacon's NPI number?

The NPI number for Sandra Bacon is 1164539318. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Sandra Bacon located?

Sandra Bacon practices at 1980 E 116th Street Ste 150, Carmel, IN 46032. The listed phone number is (317) 848-1771.

What is Sandra Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sandra Bacon enrolled in Medicare?

Yes. Sandra Bacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Bacon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.