MEDICARE: BDD CFAD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1346118163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BDD CFAD PC

Provider Business Mailing Address
First Line	:	333 W 1ST ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2641
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 S EMERSON AVE STE A1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8559
Country	:	US
Telephone Number	:	317-859-6768
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RCM
Name	:	STEPHANIE MOORE
Credential	:
Telephone Number	:	832-704-4262

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

Similar Medicare Providers

1366635310 — DR. AUGUST ANTHONY NATALIE MD
Practice Location Address:

8325 S EMERSON AVE STE C1
INDIANAPOLIS, IN
46237-8559

Practice Phone: 317-780-7400
Practice Fax: 317-859-8181

1427582923 — THOMAS ALAN ZUMBAUGH DPM
Practice Location Address:

8325 S EMERSON AVE STE B1
INDIANAPOLIS, IN
46237-8559

Practice Phone: 317-742-6575
Practice Fax:

1427579002 — DR. NEAL KAUSHIK PATEL DPM
Practice Location Address:

8325 S EMERSON AVE STE B1
INDIANAPOLIS, IN
46237-8559

Practice Phone: 317-742-6575
Practice Fax:

1609365014 — RACHEL CELESTE HENDERSON APN
Practice Location Address:

8325 S EMERSON AVE STE B1
INDIANAPOLIS, IN
46237-8559

Practice Phone: 317-742-6575
Practice Fax:

1326763491 — INDY WOUND CENTER FOR LIMB PRESERVATION & RECONSTRUCTION LLC
Practice Location Address:

8325 S EMERSON AVE STE B1
INDIANAPOLIS, IN
46237-8559

Practice Phone: 317-742-6575
Practice Fax: 866-222-7033

1326932757 — OSCAR MIDENCE LCSW
Practice Location Address:

5230 E STOP 11 RD STE 300
INDIANAPOLIS, IN
46237-6401

Practice Phone: 317-961-5173
Practice Fax:

Directions to “BDD CFAD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.