Active NPI
Elizabeth Ann Kandel, DMD
- Dentist
- Evansville, IN
National Provider Identifier
1255695656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011845A
- Practice address
- 119 SE 2ND St
Evansville, IN 47708-1401 - Phone
- (812) 425-7025
- NPI assigned
- Jun 29, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12011845A | IN | Primary |
Addresses
Primary practice location
119 SE 2ND St
Evansville, IN 47708-1401
Mailing address
1535 Audubon CT
Evansville, IN 47715-5207
Phone (812) 618-8007
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011845A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1255695656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 AUDUBON CT",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477155207",
"telephone_number": "812-618-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SE 2ND ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081401",
"telephone_number": "812-425-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDEL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011845A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.