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INDIANA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC
NPI 1407809585
Dentist - Oral and Maxillofacial Surgery in Fishers, IN

Active since May 18, 2006
10972 ALLISONVILLE RD, SUITE 110, FISHERS, IN 46038(317) 913-2363(317) 913-2370 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2026, Apr 14, 2017 (2 updates tracked since 2017).

About Indiana Oral & Maxillofacial Surgery Associates Pc NPPES

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

INDIANA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC (NPI 1407809585) is a healthcare organization registered as an oral and maxillofacial surgery in Fishers, Indiana and active in the NPI registry since May 2006. The organization lists Keith Miller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407809585
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameINDIANA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC
Location Address10972 ALLISONVILLE RD, SUITE 110Fishers, IN 46038-2637
Mailing Address10972 Allisonville Rd, Suite 110Fishers, IN 46038-2637 · (317) 913-2363 · Fax (317) 913-2370
Phone(317) 913-2363
Fax(317) 913-2370
Organization SubpartNo
Authorized OfficialKeith MillerAdministrator · (317) 913-2363
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1407809585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10972 ALLISONVILLE RD, Fishers, IN 46038
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Other Names 1

Other NameIndiana Oral And Maxillofacial Surgery Associates

Other Identifiers 1

Medicaid100059140IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indiana Oral & Maxillofacial Surgery Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Indiana Oral & Maxillofacial Surgery Associates PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Maxillofacial Surgery10
Oral Surgery2

Clinicians, nearest first (12)

Jonathan Beker, DMD MD
Maxillofacial Surgery
NPI 1407389802
10972 ALLISONVILLE RD STE 110
Fishers, IN 46038
(317) 845-7878
✔ PECOS✔ Accepts MedicareSame address
Natalie Eden, D.D.S.
Maxillofacial Surgery
NPI 1316179658
10972 ALLISONVILLE RD SUITE 100
Fishers, IN 46038
(317) 845-7878
✔ PECOS✔ Accepts MedicareSame address
Matthew Bojrab, D.D.S., M.S.
Maxillofacial Surgery
NPI 1043308968
10972 ALLISONVILLE RD SUITE 100
Fishers, IN 46038
(317) 845-7878
✔ PECOS✔ Accepts MedicareSame address
John Schier, DMD, MD
Maxillofacial Surgery
NPI 1932440054
3021 E 98TH ST STE 250
Indianapolis, IN 46280
(317) 846-3446
✔ PECOS✔ Accepts Medicare3.7 mi
Samuel Tancredi, D.D.S.
Oral Surgery
NPI 1073783478
9240 N MERIDIAN ST STE. 300
Indianapolis, IN 46260
(317) 846-7377
✔ PECOS✔ Accepts Medicare6.2 mi
David Montes, D.D.S.
Maxillofacial Surgery
NPI 1407952609
9670 E WASHINGTON ST STE 235
Indianapolis, IN 46229
(317) 899-5000
✔ PECOS✔ Accepts Medicare12 mi
Christopher Kirkup, DDS, MS
Maxillofacial Surgery
NPI 1497787220
12036 N MICHIGAN RD STE 200
Zionsville, IN 46077
(317) 733-0926
✔ PECOS✔ Accepts Medicare12 mi
Christoher Rohe, DMD
Oral Surgery
NPI 1497187140
2647 WATERFRONT PARKWAY EAST DR STE 200
Indianapolis, IN 46214
(317) 297-1007
✔ PECOS16 mi
Matthew Davis, D.D.S
Maxillofacial Surgery
NPI 1740417898
8445 S EMERSON AVE SUITE 100
Indianapolis, IN 46237
(317) 882-1284
✔ PECOS✔ Accepts Medicare21 mi
Philip Montefalco, D.D.S.
Maxillofacial Surgery
NPI 1437103017
8445 S EMERSON AVE SUITE 100
Indianapolis, IN 46237
(317) 882-1284
✔ PECOS✔ Accepts Medicare21 mi
Tyler Potter, D.D.S.
Maxillofacial Surgery
NPI 1992749402
1630 W SMITH VALLEY RD
Greenwood, IN 46142
(317) 882-3370
✔ PECOS✔ Accepts Medicare24 mi
John Pruitt, D.D.S., M.D.
Maxillofacial Surgery
NPI 1821045147
1630 W SMITH VALLEY RD
Greenwood, IN 46142
(317) 882-3370
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Indiana Oral & Maxillofacial Surgery Associates PC's NPI number?

The NPI number for Indiana Oral & Maxillofacial Surgery Associates PC is 1407809585. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is also known as Indiana Oral and Maxillofacial Surgery Associates.

Where is Indiana Oral & Maxillofacial Surgery Associates PC located?

Indiana Oral & Maxillofacial Surgery Associates PC is located at 10972 Allisonville Rd Suite 110, Fishers, IN 46038. The listed phone number is (317) 913-2363.

What is Indiana Oral & Maxillofacial Surgery Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Indiana Oral & Maxillofacial Surgery Associates PC enrolled in Medicare?

Yes. Indiana Oral & Maxillofacial Surgery Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana Oral & Maxillofacial Surgery Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Indiana Oral & Maxillofacial Surgery Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (10) and Oral Surgery (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Indiana Oral & Maxillofacial Surgery Associates PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Indiana Oral & Maxillofacial Surgery Associates PC 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 Indiana Oral & Maxillofacial Surgery Associates PC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.