Active NPI
Nasreen El-Ezmerli, MDS
- General Practice Dentistry
- Carmel, IN
National Provider Identifier
1144958885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013745A
- Practice address
- 12914 University Cres Apt 1C
Carmel, IN 46032-9667 - Phone
- (571) 344-8615
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013745A | IN | Primary |
Addresses
Primary practice location
12914 University Cres Apt 1C
Carmel, IN 46032-9667
Mailing address
12914 University Cres Apt 1C
Carmel, IN 46032-9667
Phone (571) 344-8615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013745A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1144958885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12914 UNIVERSITY CRES APT 1C",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329667",
"telephone_number": "571-344-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12914 UNIVERSITY CRES APT 1C",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329667",
"telephone_number": "571-344-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-EZMERLI",
"first_name": "NASREEN",
"credential": "MDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013745A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.