Active NPI
Diane E Ulrich, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, IL
National Provider Identifier
1649428756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021.001840
- Practice address
- 400 N. Chicago St
Lincoln, IL 62656 - Phone
- (217) 732-1073
- NPI assigned
- Sep 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.024323 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021.001840 | IL | Primary |
Addresses
Primary practice location
400 N. Chicago St
Lincoln, IL 62656
Mailing address
400 N Chicago St
Lincoln, IL 62656-2016
Phone (217) 732-1073
Other names 1
- Betsy Ulrich
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.024323 | IL | MD | Dentist |
| 021.001840 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1649428756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N CHICAGO ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562016",
"telephone_number": "217-732-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N. CHICAGO ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "62656",
"telephone_number": "217-732-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "DIANE",
"middle_name": "E",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.024323",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021.001840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY",
"last_name": "ULRICH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.