Active NPI
Elizabeth Potee Trillet, DMD
- Pediatric Dentistry
- Noblesville, IN
National Provider Identifier
1710501382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12013761A
- Practice address
- 106 Lakeview Dr
Noblesville, IN 46060-1307 - Phone
- (317) 773-3617
- NPI assigned
- May 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 12013761A | IN | Primary |
Addresses
Primary practice location
106 Lakeview Dr
Noblesville, IN 46060-1307
Mailing address
10350 Golden Bear Way
Noblesville, IN 46060-4451
Other practice location 1
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (317) 407-2363
Other names 1
- Elizabeth Anne Potee
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12013761A | IN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Noblesville | Pediatric Dentistry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Noblesville, IN
- NPI 1174657373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1710501382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 GOLDEN BEAR WAY",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LAKEVIEW DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460601307",
"telephone_number": "317-773-3617"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061716",
"country_code": "US",
"telephone_number": "317-407-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRILLET",
"first_name": "ELIZABETH",
"middle_name": "POTEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-30",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12013761A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "POTEE",
"middle_name": "ANNE",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.