Active NPI
Louis D. Plumlee, D.D.S.
- General Practice Dentistry
- Plymouth, IN
National Provider Identifier
1467591255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12008722
- Practice address
- 113 N Michigan St
Plymouth, IN 46563-2132 - Phone
- (574) 936-3505
- Fax
- (574) 936-1023
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008722 | IN | Primary |
Addresses
Primary practice location
113 N Michigan St
Plymouth, IN 46563-2132
Mailing address
113 N Michigan St
Plymouth, IN 46563-2132
Phone (574) 936-3505
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615000433 | IN | Order and Referring Only - Oral Surgery | 3375709454 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12008722 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis Plumlee DDS | Current | Accepting new patients |
Locations
1400 N Oak Dr
Plymouth, IN 46563
Phone (574) 935-3937
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1467591255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N MICHIGAN ST",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465632132",
"telephone_number": "574-936-3505",
"fax_number": "574-936-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 N MICHIGAN ST",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465632132",
"telephone_number": "574-936-3505",
"fax_number": "574-936-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMLEE",
"first_name": "LOUIS",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12008722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.