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SARA GHOLAM DMD
NPI 1194245225
Dentist - Pediatric Dentistry in Indianapolis, IN

Active since June 20, 2017
1121 W MICHIGAN ST RM 280B, INDIANAPOLIS, IN 46202(317) 274-5348 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2019, Jun 20, 2017 (2 updates tracked since 2017).

About Sara Gholam Dmd NPPES

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

SARA GHOLAM DMD (NPI 1194245225) is an individual pediatric dentistry provider in Indianapolis, Indiana, licensed in Pennsylvania (DS042216) and active in the NPI registry since June 2017. She maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1194245225
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSARA GHOLAMCredential: DMD
Location Address1121 W MICHIGAN ST RM 280BIndianapolis, IN 46202
Mailing Address1121 W Michigan St Rm 280bIndianapolis, IN 46202-5211
Phone(317) 274-5348
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration
✔ NPI 1194245225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS042216
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LDR170182 (IN)
1121 W MICHIGAN ST RM 280B, Indianapolis, IN 46202
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Secondary Practice Location 1

Location 11121 W Michigan St Rm 280BIndianapolis, IN 46202 · Phone (317) 274-5348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Sara Gholam's NPI number?

The NPI number for Sara Gholam is 1194245225. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Sara Gholam located?

Sara Gholam practices at 1121 W Michigan St Rm 280B, Indianapolis, IN 46202. The listed phone number is (317) 274-5348.

What is Sara Gholam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Sara Gholam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Sara Gholam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Gholam was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.