Individual provider Active NPI

Daniela Jeanette Lawson, DDS

  • General Practice Dentistry
  • Noblesville, IN
National Provider Identifier
1669421582
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007812A Issued in IN
Practice address
15887 Cumberland Rd
Suite 104
Noblesville, IN 46060-4329
Phone
(317) 770-4783
Fax
(317) 770-4785
NPI assigned
May 8, 2006
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 12007812A IN
General Practice Dentistry 1223G0001X 12007812A IN Primary

Addresses

Primary practice location

15887 Cumberland Rd
Suite 104
Noblesville, IN 46060-4329

Mailing address

15887 Cumberland Rd
Suite 104
Noblesville, IN 46060-4329
Phone (317) 770-4783

Other identifiers 1

IdentifierTypeStateIssuer
1669421582MedicaidIN

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Pointe Dental Care PastSince Nov 1, 1979 Accepting new patients
D. Jeanette Lawson, DDS, PC PastSince Jan 24, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1669421582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15887 CUMBERLAND RD",
            "address_2": "SUITE 104",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604329",
            "telephone_number": "317-770-4783",
            "fax_number": "317-770-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15887 CUMBERLAND RD",
            "address_2": "SUITE 104",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604329",
            "telephone_number": "317-770-4783",
            "fax_number": "317-770-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "DANIELA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "12007812A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007812A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669421582",
            "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 17, 2018; 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.