Lorre A Mishler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12009589B Issued in IN

Practice address

1461 South 7TH Street
Terre Haute
Terre Haute, IN 47802-1251

Phone

(812) 232-5904

Fax

(812) 234-1430

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Friendly Smiles Family Dentistry

  • Dental Clinic/Center
  • Terre Haute, IN
  • NPI 1508287046
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1497809461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SOUTH 7TH STREET",
            "address_2": "TERRE HAUTE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021251",
            "telephone_number": "812-232-5904",
            "fax_number": "812-234-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 SOUTH 7TH STREET",
            "address_2": "TERRE HAUTE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021251",
            "telephone_number": "812-232-5904",
            "fax_number": "812-234-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "LORRE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009589B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Growth LLC
• Mindfully Nourished Consulting LLC
• Kodi Mink, RBT
• Jeffrey Dean Minnaert
• Jana Mishler, MSW, LSW
• Ruthann Y Mishler, CNMW
• Amani Mitchell
• Jamie Lynn Mitchell, MA
• Kady Mitchell, RBT
• Phillip B Mitchell II, LCSW

• Dentist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.