Individual provider Active NPI

Elizabeth Mechas, DMD

  • Pediatric Dentistry
  • Lexington, KY
National Provider Identifier
1689306524
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10760 Issued in KY
Practice address
2517 Sir Barton Way Ste 200
Lexington, KY 40509-2744
Phone
(859) 543-2456
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10760 KY
Pediatric Dentistry 1223P0221X 12013851A IN
Pediatric Dentistry 1223P0221X 10760 KY Primary

Addresses

Primary practice location

2517 Sir Barton Way Ste 200
Lexington, KY 40509-2744

Mailing address

2517 Sir Barton Way Ste 200
Lexington, KY 40509-2744

Other practice location 1

208 Bevins Ln Ste A
Georgetown, KY 40324-6129
Phone (502) 570-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705002483 IN Order and Referring Only - DentistPractitioner - Dentist 0648650986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10760KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1689306524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SIR BARTON WAY STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 SIR BARTON WAY STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092744",
            "telephone_number": "859-543-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Bevins Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403246129",
            "country_code": "US",
            "telephone_number": "502-570-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECHAS",
        "first_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10760",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013851A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.