Individual provider Active NPI

Delayne Marie Lefevre, DDS

  • Dentist
  • Noblesville, IN
National Provider Identifier
1346367166
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010831A Issued in IN
Practice address
5520 Pebble Village Lane
Ste 200
Noblesville, IN 46062
Phone
(317) 867-3335
Fax
(317) 867-3337
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12010831A IN Primary

Addresses

Primary practice location

5520 Pebble Village Lane
Ste 200
Noblesville, IN 46062

Mailing address

2001 S Tiger Dr
Yorktown, IN 47396-9385
Phone (765) 759-9451

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
I20170424001224 IN Order and Referring Only - DentistPractitioner - Dentist 5092032722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010831AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lefevre Dentistry, Inc Past Accepting new patients

Organizations & group practices 1

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1346367166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S TIGER DR",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969385",
            "telephone_number": "765-759-9451",
            "fax_number": "765-759-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PEBBLE VILLAGE LANE",
            "address_2": "STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46062",
            "telephone_number": "317-867-3335",
            "fax_number": "317-867-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "DELAYNE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010831A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.