Active NPI
Karima N Lubbadeh, DDS
- General Practice Dentistry
- Fishers, IN
National Provider Identifier
1639788219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013398A
- Practice address
- 12574 Promise Creek LN Ste 110
Fishers, IN 46038-7713 - Phone
- (317) 537-7280
- Fax
- (317) 537-7287
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013398A | IN | Primary |
Addresses
Primary practice location
12574 Promise Creek LN Ste 110
Fishers, IN 46038-7713
Mailing address
9235 Crystal River Dr
Indianapolis, IN 46240-6448
Phone (317) 332-2920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12013398A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Dental LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Fishers, IN
- NPI 1972041705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1639788219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9235 CRYSTAL RIVER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462406448",
"telephone_number": "317-332-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12574 PROMISE CREEK LN STE 110",
"city": "FISHERS",
"state": "IN",
"postal_code": "460387713",
"telephone_number": "317-537-7280",
"fax_number": "317-537-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBADEH",
"first_name": "KARIMA",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013398A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.