NPIMap

Individual provider Active NPI

B L Poer

  • General Practice Dentistry
  • Westfield, IN
National Provider Identifier
1497978324
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1200-9583 Issued in IN
Practice address
16411 Southpark Dr
Suite a
Westfield, IN 46074-8468
Phone
(317) 896-1986
Fax
(317) 896-1886
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 1200-9583 IN Primary

Addresses

Primary practice location

16411 Southpark Dr
Suite a
Westfield, IN 46074-8468

Mailing address

16411 Southpark Dr
Suite a
Westfield, IN 46074-8468
Phone (317) 896-1986

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

LicenseStateTypeSpecialty
1200-9583INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elsner Family Dentistry Past Accepting new patients
Ladd Dental Group Inc General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1497978324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR",
            "address_2": "SUITE A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748468",
            "telephone_number": "317-896-1986",
            "fax_number": "317-896-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR",
            "address_2": "SUITE A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748468",
            "telephone_number": "317-896-1986",
            "fax_number": "317-896-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POER",
        "first_name": "B",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1200-9583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.