Individual provider Active NPI

Adam J. Elsner, DDS

  • Dentist
  • Westfield, IN
National Provider Identifier
1194162271
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011951A Issued in IN
Practice address
16411 Southpark Dr Ste a
Westfield, IN 46074-8469
Phone
(317) 896-1986
Fax
(317) 896-1886
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011951A IN Primary

Addresses

Primary practice location

16411 Southpark Dr Ste a
Westfield, IN 46074-8469

Mailing address

16411 Southpark Dr Ste a
Westfield, IN 46074-8469
Phone (317) 896-1986

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
I20180507000993 IN Order and Referring Only - DentistPractitioner - Dentist 2769746312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elsner Family Dentistry Dentist Past Accepting new patients
Ladd Dental Group 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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1194162271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR STE A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748469",
            "telephone_number": "317-896-1986",
            "fax_number": "317-896-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR STE A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748469",
            "telephone_number": "317-896-1986",
            "fax_number": "317-896-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSNER",
        "first_name": "ADAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011951A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.