Active NPI
Elana Laks, DMD
- Prosthodontics
- Indianapolis, IN
National Provider Identifier
1265925663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- LDR170189
- Practice address
- 1121 W Michigan St
Indianapolis, IN 46202-5211 - Phone
- (317) 274-8434
- NPI assigned
- Jun 11, 2018
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | LDR170189 | IN | Primary |
Addresses
Primary practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Mailing address
857 Indigo Way Apt C
Indianapolis, IN 46260-4574
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1265925663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 INDIGO WAY APT C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462604574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W MICHIGAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025211",
"telephone_number": "317-274-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKS",
"first_name": "ELANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IN",
"license": "LDR170189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.