Forrest Wane Fullenkamp, DDS
Dentist · Decatur, IN
Forrest Wane Fullenkamp, DDS is a dentist with a practice address in Decatur, Indiana, and NPI 1730733007, issued on Jul 25, 2019. Check the license (Indiana 12013196A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Forrest Wane Fullenkamp
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 12013196A IN
Self-reported in NPPES; status is on the state search - Practice location
- 1020 Southampton Dr, Decatur, IN 46733
- Phone
- (260) 724-8410
- Enumerated
- Jul 25, 2019
- Record last updated
- Apr 29, 2024
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,582 in Indiana → Look up another NPI →
Also registered at 1020 Southampton Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Todd Evans, D.D.S.Dentist1386736742
- Julie Fullenkamp, DDSGeneral Practice Dentistry1548753163
- Ronald Hammond, DDSGeneral Practice Dentistry1720133176
Verify Forrest Wane Fullenkamp in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 12013196ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $986.27
10 payments; by number, the most common kind was food and beverage; the largest payer was Zimvie Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Forrest Wane Fullenkamp among 1,582 dentist records in Indiana
Forrest Wane Fullenkamp, DDS is one of 1,582 dentist records with a practice address in Indiana. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 75% of them.
- NPI issued2019 · 75% of these records are older, 22% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2024 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 dentist records list a practice address in Decatur
They are 7 of the 145 NPPES records with a practice address in Decatur, and 1,582 dentist records in Indiana.
All 1,582 in Indiana → Every provider in Decatur → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Terry Baker, DDS DENTISTDecatur, IN 467331033284310
- Matthew Baker, DDS DENTISTDecatur, IN 467331033284328
- Todd Evans, D.D.S.Decatur, IN 467331386736742
- Taylor TerveerDecatur, IN 467331093163891
- Roger ThompsonDecatur, IN 467331013082304
- Kelly Ulman, DDSDecatur, IN 467331215002597
- Greg Barry, D.D.S.Fremont, IN 467371578792941
- Adam Stump, DDSFremont, IN 467371093368391
Common questions
What is Forrest Wane Fullenkamp, DDS's NPI number?
Forrest Wane Fullenkamp, DDS's National Provider Identifier (NPI) is 1730733007, issued on Jul 25, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Forrest Wane Fullenkamp, DDS located?
The NPPES record lists a practice address at 1020 Southampton Dr, Decatur, IN, 46733. Phone: (260) 724-8410. Providers update this record themselves, so call before visiting.
How can I verify Forrest Wane Fullenkamp, DDS's license?
NPPES lists Indiana license number 12013196A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.