Individual provider Active NPI

Lauren Stone, DMD

  • Dentist
  • Evansville, IN
National Provider Identifier
1083028476
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012148A Issued in IN
Practice address
2560 Waterbridge Way
Evansville, IN 47710-3200
Phone
(812) 484-0195
Fax
(812) 484-0197
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9667 KY
Dentist 122300000X 12012148A IN Primary

Addresses

Primary practice location

2560 Waterbridge Way
Evansville, IN 47710-3200

Mailing address

Brownsboro Station Dental Care
9901 Brownsboro Road Suite 102
Louisville, KY 40241-1100
Phone (022) 127-6555

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
I20150526000786 IN Order and Referring Only - DentistPractitioner - Dentist 4486974904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012148AINMDDentist
9667KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Exceptional Medical Care Past Accepting new patients
Dental Professionals of Indiana, P.C. General Practice PastSince Mar 4, 2021 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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1083028476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROWNSBORO STATION DENTAL CARE",
            "address_2": "9901 BROWNSBORO ROAD SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411100",
            "telephone_number": "022-127-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 WATERBRIDGE WAY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103200",
            "telephone_number": "812-484-0195",
            "fax_number": "812-484-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9667",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.