JACK E NICEWANDER
NPI 1689067928
Clinic/Center - Dental in Indianapolis, IN

Active since March 11, 2015
5511 E 82ND ST, STE F, INDIANAPOLIS, IN 46250(317) 842-1903(317) 849-8054 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack E Nicewander NPPES

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

JACK E NICEWANDER (NPI 1689067928) is a healthcare organization registered as a dental in Indianapolis, Indiana and active in the NPI registry since March 2015. The organization lists Jack E Nicewander, Owner, as its authorized official.

NPPES Registry Identity

NPI1689067928
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACK E NICEWANDER
Location Address5511 E 82ND ST, STE FIndianapolis, IN 46250-4698
Mailing Address5511 E 82nd St, Ste FIndianapolis, IN 46250-4698 · (317) 842-1903 · Fax (317) 849-8054
Fax(317) 849-8054
Organization SubpartNo
Authorized OfficialJack E NicewanderOwner · (317) 842-1903
Enumeration DateMarch 11, 2015
Last NPPES UpdateApril 6, 2015
NPI 1689067928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IN · 12007501A
5511 E 82ND ST, Indianapolis, IN 46250

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
5511 E 82ND ST, SUITE F
INDIANAPOLIS, IN 46250
Home Health
5511 E 82ND ST, STE C
INDIANAPOLIS, IN 46250

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 Jack E Nicewander's NPI number?

The NPI number for Jack E Nicewander is 1689067928. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Jack E Nicewander located?

Jack E Nicewander is located at 5511 E 82nd St Ste F, Indianapolis, IN 46250. The listed phone number is (317) 842-1903.

What is Jack E Nicewander's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jack E Nicewander was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.