DR. ANNE KRIETENSTEIN BROUILLARD DDS
NPI 1417640921
Dentist - Pediatric Dentistry in Indianapolis, IN

Q: What is Anne Brouillard's NPI number?

The NPI number for Anne Brouillard is 1417640921. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Q: What is Anne Brouillard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anne Brouillard was last updated on May 31, 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 May 31, 2023PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-3865 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Anne Krietenstein Brouillard Dds NPPES

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

DR. ANNE KRIETENSTEIN BROUILLARD DDS (NPI 1417640921) is an individual pediatric dentistry provider in Indianapolis, Indiana, licensed in Indiana (12014091A) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417640921

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. ANNE KRIETENSTEIN BROUILLARDCredential: DDS

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address633 Lawndale DrPlainfield, IN 46168-2261 · (463) 253-0682

Phone(317) 944-3865

Sole ProprietorYes

Enumeration DateMay 31, 2023

NPPES CertifiedMay 31, 2023

✔ NPI 1417640921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 12014091A

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.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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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. Anne Krietenstein Brouillard 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 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.

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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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)