Individual provider Active NPI

Elizabeth B. Lewis-Miller, D.D.S.

  • Dentist
  • Carmel, IN
National Provider Identifier
1023218393
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009479A Issued in IN
Practice address
12720 Meeting House Rd
Carmel, IN 46032-7334
Phone
(317) 571-1900
Fax
(317) 569-9695
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009479A IN Primary

Addresses

Primary practice location

12720 Meeting House Rd
Carmel, IN 46032-7334

Mailing address

12720 Meeting House Rd
Carmel, IN 46032-7334
Phone (317) 571-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112000375 IN Order and Referring Only - DentistPractitioner - Dentist 9234431040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009479AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Dental Group Sleep, LLC CurrentSince Nov 1, 2022 Accepting new patients
Indy Dental Group WC, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1023218393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MEETING HOUSE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327334",
            "telephone_number": "317-571-1900",
            "fax_number": "317-569-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MEETING HOUSE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327334",
            "telephone_number": "317-571-1900",
            "fax_number": "317-569-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-MILLER",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.