Jessica Lynn Worthington, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011279A Issued in IN

Practice address

370 Medical Drive
Suite E
Carmel, IN 46032-2916

Phone

(317) 575-0200

Fax

(317) 575-0202

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

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.

• Carmel Family Dentistry PC

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1528370681
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1417155482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DR",
            "address_2": "SUITE E",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322916",
            "telephone_number": "317-575-0200",
            "fax_number": "317-575-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEDICAL DRIVE",
            "address_2": "SUITE E",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322916",
            "telephone_number": "317-575-0200",
            "fax_number": "317-575-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027436",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011279A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011279A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Woods, PT
• Emilee Woodward, RBT
• Deborah Abundis Wooldridge, O.T.R./L.,M.H.S.
• Workplace Services, LLC
• Courtney Worland, MSN, PMHNP
• Wound Care Specialists of Indiana PC
• Thomas C. Wozniak, M.D.
• Prudence Jayne Wray, LMHC
• Michelle E Wright Mast, NP
• Marylou Wright, RBT

• General Practice Dentistry in Carmel, IN
• Providers in Carmel, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.