Elias Arthur Macis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12013217A Issued in IN

Practice address

9150 E. 109TH Ave. Ste. B
Crown Point, IN 46307

Phone

(219) 661-5085

Fax

(219) 661-5087

NPI assigned

Aug 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• B and B Dental Group, LLC D/B/a Kessler Family Dental and Associates

  • Dentist
  • Crown Point, IN
  • NPI 1346800463
  NPD (past) Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1164077046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E. 109TH AVE. STE. 3B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-576-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E. 109TH AVE. STE. B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-661-5085",
            "fax_number": "219-661-5087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Fran Lin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213540",
            "country_code": "US",
            "telephone_number": "219-552-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIS",
        "first_name": "ELIAS",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013217A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy S Lyzak, MD
• M H Vale, P.C.
• Clarita Mabon, MHC
• Paige Macgillis
• Nicole Mach, RBT
• Madry Mobile Healthcare and Consultants LLC
• Valerie Cecelia Maguire, MD
• Vijay Raj Maheshwari, DDS
• Main Street Counseling Center
• Main Street Counseling Center

• All providers in Crown Point, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.