Individual provider Active NPI

Nicole Elizabeth Lochard

  • Dentist
  • Sidney, OH
National Provider Identifier
1679126858
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025743 Issued in OH
Practice address
425 W Russell Rd
Sidney, OH 45365-1454
Phone
(937) 492-2848
Fax
(937) 492-8615
NPI assigned
Jul 17, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025743 OH Primary

Addresses

Primary practice location

425 W Russell Rd
Sidney, OH 45365-1454

Mailing address

2273 Beechwood TRL
Sidney, OH 45365-3713
Phone (937) 726-0356

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Sidney@midwestohiodental.com Health Information Exchange (HIE)
Direct Messaging Address Sidney@midwestohiodental.com Health Information Exchange (HIE)
Direct Messaging Address Sidney@midwestohiodental.com Health Information Exchange (HIE)
Direct Messaging Address Sidney@midwestohiodental.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
30.025743OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles J. Edelen, D.D.S., Inc. PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sidney@midwestohiodental.com

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, 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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1679126858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 BEECHWOOD TRL",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653713",
            "telephone_number": "937-726-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651454",
            "telephone_number": "937-492-2848",
            "fax_number": "937-492-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHARD",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sidney@midwestohiodental.com",
            "affiliation": "N",
            "endpointDescription": "Webmail Roundcube",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "425 W Russell Rd",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453651454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sidney@midwestohiodental.com",
            "affiliation": "N",
            "endpointDescription": "Webmail Roundcube",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "425 W Russell Rd",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453651454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sidney@midwestohiodental.com",
            "affiliation": "N",
            "endpointDescription": "Webmail Roundcube",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "425 W Russell Rd",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453651454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sidney@midwestohiodental.com",
            "affiliation": "N",
            "endpointDescription": "Webmail Roundcube",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "425 W Russell Rd",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453651454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.