Nicholas Matthew Monesmith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014094A Issued in IN

Practice address

1665 N Lebanon St
Lebanon, IN 46052-1515

Phone

(765) 482-5762

NPI assigned

Jun 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1609560606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521515",
            "telephone_number": "765-482-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESMITH",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027225",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamala Anne Mlagan, M.S., O.T.R.
• MLB Essex Health Facilities, Inc
• Mobile Health Testing Soutions LLC
• Marla Jennings Mock
• Melissa Kay Molter, MSW
• Monica Erk LMFT LLC
• Lindsay R Moore, MA, BCBA
• Iliah Morley, RBT
• Carrie Spangler Morris, OT
• Jeffrey David Mossler, M.D.

• General Practice Dentistry in Lebanon, IN
• Providers in Lebanon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.