Active NPI
Nicole Lambert Hurcomb, D.D.S.
- General Practice Dentistry
- South Bend, IN
National Provider Identifier
1427259175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12010971A
- Practice address
- 51584 State Road 933
South Bend, IN 46637-1704 - Phone
- (574) 272-6575
- Fax
- (574) 272-6587
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010971A | IN | |
| General Practice Dentistry | 1223G0001X | 12010971A | IN | Primary |
Addresses
Primary practice location
51584 State Road 933
South Bend, IN 46637-1704
Mailing address
51584 State Road 933
South Bend, IN 46637-1704
Phone (574) 272-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200884210 | Medicaid | IN |
Other names 1
- Dr. Nicole Kristin Lambert
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010971A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoffrey a. Klopenstine DDS PC | General Practice | 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.
-
- General Practice Dentistry
- South Bend, IN
- NPI 1275701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1427259175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51584 STATE ROAD 933",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466371704",
"telephone_number": "574-272-6575",
"fax_number": "574-272-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51584 STATE ROAD 933",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466371704",
"telephone_number": "574-272-6575",
"fax_number": "574-272-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURCOMB",
"first_name": "NICOLE",
"middle_name": "LAMBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010971A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010971A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200884210",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "LAMBERT",
"middle_name": "KRISTIN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.