Individual provider Active NPI

Ellen C Torbeck, DMD

  • Dentist
  • Burlington, KY
National Provider Identifier
1417019068
Registry record updated Aug 25, 2015
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5909 Issued in KY
Practice address
2618 Burlington Pike
Burlington, KY 41005
Phone
(859) 586-7900
Fax
(859) 586-7931
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5909 KY Primary

Addresses

Primary practice location

2618 Burlington Pike
Burlington, KY 41005

Mailing address

PO Box 425
2618 Burlington Pike
Burlington, KY 41005
Phone (859) 586-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150821013905 KY Practitioner - Dentist 5698080406 Practice locations: Burlington, KY

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1417019068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "address_2": "2618 BURLINGTON PIKE",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "41005",
            "telephone_number": "859-586-7900",
            "fax_number": "859-586-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 BURLINGTON PIKE",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "41005",
            "telephone_number": "859-586-7900",
            "fax_number": "859-586-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORBECK",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, KY

Sources for this page

Verify at the official NPI Registry.