Lisa Ann Metzen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

60714 Issued in KS

Practice address

201 W. 2ND St.
Minneapolis, KS 67467-0343

Phone

(785) 392-2194

Fax

(785) 392-3142

NPI assigned

Aug 18, 2009

Last updated

Apr 29, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 5, 2016 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1629200167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W. 2ND ST.",
            "address_2": "P.O. BOX 343",
            "city": "MINNEAPOLIS",
            "state": "KS",
            "postal_code": "674670343",
            "telephone_number": "785-392-2194",
            "fax_number": "785-392-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W. 2ND ST.",
            "city": "MINNEAPOLIS",
            "state": "KS",
            "postal_code": "674670343",
            "telephone_number": "785-392-2194",
            "fax_number": "785-392-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZEN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Labes, ARNP-C
• Dalton Lierz
• Patricia Little, MD
• Erica McTaggart Cpta, CPTA
• Peter Meier, MD
• Minneapolis Healthcare and Rehabilitation Center LLC (Minneapolis Healthcare and Rehabilitation Center)
• Minneapolis KS Opco LLC (Minneapolis Health and Rehabilitation)
• Paige Erin Mortimer, APRN
• Chantelle Niles, PA
• Margaret Ptacek

• Dentist in Minneapolis, KS
• Providers in Minneapolis, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.