NPIMap

Organization Active NPI

Lefevre Dentistry, Inc

  • Dental Clinic/Center
  • Noblesville, IN
National Provider Identifier
1508175928
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10831 Issued in IN
Legal business name
LEFEVRE DENTISTRY, INC
Practice address
5520 Pebble Village LN
Suite 200
Noblesville, IN 46062-7423
Phone
(317) 867-3335
Fax
(317) 867-3337
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Delayne Marie Lefevre, D.D.S.NPI 1346367166
Title
President
Phone
(317) 867-3335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10831 IN Primary

Addresses

Primary practice location

5520 Pebble Village LN
Suite 200
Noblesville, IN 46062-7423

Mailing address

5520 Pebble Village LN
Suite 200
Noblesville, IN 46062-7423
Phone (317) 867-3335

Other identifiers 1

IdentifierTypeStateIssuer
200870170 AMedicaidIN

National Provider Directory

National Provider Directory

Locations

5520 Pebble Village Ln
#200
Noblesville, IN 46062
Phone (317) 867-3335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1508175928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PEBBLE VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627423",
            "telephone_number": "317-867-3335",
            "fax_number": "317-867-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PEBBLE VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627423",
            "telephone_number": "317-867-3335",
            "fax_number": "317-867-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFEVRE DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "DELAYNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-867-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "10831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200870170 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.