Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003914110 Individual Practitioner Female Practitioner

Dr. Iris Corina Mcnicholl , DDS

Dentist • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Dr. Iris Mcnicholl, DDS is a registered healthcare professional specializing in Dentist in Indianapolis, IN. Practice services are available at 1481 WEST 10TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1481 West 10th Street

Indianapolis, IN 46202

Telephone 3179882733
Fax 3179885377

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
361 Specialists

Practicing in Indianapolis, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12009732

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200169270A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1033560982

Doctor of Dental Surgery

NPI 1306258983

Doctor of Dental Surgery

Dr. Logan Lamberton , DDS

Dentist - General Practice

NPI 1306778139

Doctor of Dental Surgery

Dr. Leslie Brooks , DDS

Dentist - Periodontics

NPI 1447362983

Doctor of Dental Surgery

Dr. Sameer Kapoor , DDS

Dentist - Periodontics

NPI 1588142632

Doctor of Dental Surgery

NPI 1629635586

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2017

Registered at 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202 (Tel: 3179882733)

📍
Updated Business Mailing Address January 06, 2017

Registered at 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202 (Tel: 3179882733)

👤
Provider Name / Credentials Updated January 06, 2017

Recorded as IRIS MCNICHOLL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Dentist (License #12009732 in IN)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003914110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: January 06, 2017
Sole Proprietor: No

Mailing Address

1481 West 10th Street

Indianapolis, IN 46202

Phone: 3179882733

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.