Elizabeth Jane Kilpatrick, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041492 Issued in PA

Practice address

2796 PA-611
Tannersville, PA 18372

Phone

(570) 629-1570

NPI assigned

Aug 7, 2017

Sex

Female

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.

• Navid H Hadian DMD PC

  dba Brookside Dental

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1376340661
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1316462757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BETHLEHEM RD",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321315",
            "telephone_number": "610-737-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 PA-611",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "18372",
            "telephone_number": "570-629-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "979 Brookside Rd",
            "address_purpose": "LOCATION",
            "city": "Wescosville",
            "state": "PA",
            "postal_code": "181069441",
            "country_code": "US",
            "telephone_number": "610-395-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lyn Gibbons, M.A. CCC-SLP
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• Dianne C. Hickok, CRNP
• Jeffrey R. Wert DMD PC
• Keeping It Real Counseling, LLC
• Jinu Vinu Kurian, DDS
• Laubach Family Chiropractic LLC (Back 2 Health)
• Elizabeth Anne Laubach, D.C.
• Nathan Richard Laubach, DC
• Leyla Daneshdoost MD PC

• Dentist in Tannersville, PA
• Providers in Tannersville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.