NPIMap

Organization Active NPI

Lorie G Brinson, DDS, PC

  • Public Health Dentistry
  • Indianapolis, IN
National Provider Identifier
1205353802
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
12010346A Issued in IN
Legal business name
LORIE G BRINSON, DDS, PC
Doing business as
Lorie G Brinson, DDS, PC
Practice address
3934 W 96TH St Ste B
Indianapolis, IN 46268-2928
Phone
(317) 228-0195
Fax
(317) 228-0246
NPI assigned
Aug 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Lorie Goodpaster Brinson, DDSNPI 1972633352
Title
President
Phone
(317) 228-0195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 12010346A IN Primary

Addresses

Primary practice location

3934 W 96TH St Ste B
Indianapolis, IN 46268-2928

Mailing address

3934 W 96TH St Ste B
Indianapolis, IN 46268-2928
Phone (317) 228-0195

Other identifiers 1

IdentifierTypeStateIssuer
1972633352MedicaidIN

Other names 1

  • Lorie G Brinson, DDS, PC Doing business as

National Provider Directory

National Provider Directory

Locations

3934 W 96th St
Ste B
Indianapolis, IN 46268
Phone (317) 228-0195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205353802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 W 96TH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682928",
            "telephone_number": "317-228-0195",
            "fax_number": "317-228-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 W 96TH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682928",
            "telephone_number": "317-228-0195",
            "fax_number": "317-228-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIE G BRINSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "GOODPASTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-228-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "IN",
            "license": "12010346A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972633352",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorie G Brinson, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.