Individual provider Active NPI

Louis D. Plumlee, D.D.S.

  • General Practice Dentistry
  • Plymouth, IN
National Provider Identifier
1467591255
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008722 Issued in IN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615000433 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375709454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008722INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.