OrganizationActive
Jack E Nicewander
NPI 1689067928 · Dental Clinic/Center · Indianapolis, IN
Jack E Nicewander is a Dental Clinic/Center organization in Indianapolis, IN (NPI 1689067928).
Provider details
- NPI number
- 1689067928
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Nicewander, Owner(317) 842-1903
- License
- 12007501A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES 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
5511 E 82nd St
Ste F
Indianapolis, IN 46250-4698
Phone: (317) 842-1903
Fax: (317) 849-8054
Street-level locationGet directions
Mailing address
5511 E 82nd St
Indianapolis, IN 46250-4698
Registry dates
- Enumerated
- 2015-03-11
- Last updated
- 2015-04-06
Frequently asked questions
- What is Jack E Nicewander's NPI number?
- Jack E Nicewander's National Provider Identifier (NPI) is 1689067928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack E Nicewander?
- Jack E Nicewander is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack E Nicewander located?
- Jack E Nicewander's practice location on file with NPPES is 5511 E 82nd St, Indianapolis, IN 46250-4698.
- What is Jack E Nicewander's phone number?
- The practice phone number listed in the NPPES registry for Jack E Nicewander is (317) 842-1903.
- Who is the authorized official for Jack E Nicewander?
- The authorized official listed on Jack E Nicewander's NPPES record is Jack Nicewander, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack E Nicewander's NPI active?
- Yes — Jack E Nicewander's NPI (1689067928) is active in the NPPES registry as of the last update on 2015-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.