Active NPI
Elizabeth Ann Kirsch, DDS
- Dentist
- Greencastle, IN
National Provider Identifier
1699069757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011627A
- Practice address
- 18 E Washington St
Greencastle, IN 46135 - Phone
- (765) 653-8615
- Fax
- (765) 653-5227
- NPI assigned
- Jun 7, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12011627A | IN | Primary |
Addresses
Primary practice location
18 E Washington St
Greencastle, IN 46135
Mailing address
201 W 8TH St
Suite 810
Pueblo, CO 81003-3038
Phone (719) 562-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12011627A | Other | IN | INDIANA DENTAL LICENSE NO. 12011627A |
Other names 1
- Miss Elizabeth Ann Lemmon
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817000854 | IN | Order and Referring Only - Dentist | 3678868502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011627A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry a Wainman, DDS PC | Dentist | Past | Accepting new patients |
| Kirsch Family Dentistry | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Greencastle, IN
- NPI 1003269598
-
- Dentist
- Greencastle, IN
- NPI 1275648859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1699069757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W 8TH ST",
"address_2": "SUITE 810",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033038",
"telephone_number": "719-562-4447",
"fax_number": "719-583-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E WASHINGTON ST",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "46135",
"telephone_number": "765-653-8615",
"fax_number": "765-653-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCH",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011627A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA DENTAL LICENSE NO. 12011627A",
"identifier": "12011627A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "LEMMON",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "DENTAL STUDENT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.