OrganizationActive
Prosper Holistic Dentistry LLC
NPI 1619811478 · Dental Clinic/Center · Fort Wayne, IN
Prosper Holistic Dentistry LLC is a Dental Clinic/Center organization in Fort Wayne, IN (NPI 1619811478).
Provider details
- NPI number
- 1619811478
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allyson Feasel, Dentist/Owner(317) 607-7959
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (260) 888-4130
Street-level locationGet directions
Mailing address
3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Prosper Holistic Dentistry LLC's NPI number?
- Prosper Holistic Dentistry LLC's National Provider Identifier (NPI) is 1619811478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosper Holistic Dentistry LLC?
- Prosper Holistic Dentistry LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prosper Holistic Dentistry LLC located?
- Prosper Holistic Dentistry LLC's practice location on file with NPPES is 3030 Lake Ave Ste 15, Fort Wayne, IN 46805-5428.
- What is Prosper Holistic Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Prosper Holistic Dentistry LLC is (260) 888-4130.
- Who is the authorized official for Prosper Holistic Dentistry LLC?
- The authorized official listed on Prosper Holistic Dentistry LLC's NPPES record is Allyson Feasel, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosper Holistic Dentistry LLC's NPI active?
- Yes — Prosper Holistic Dentistry LLC's NPI (1619811478) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.