Individual provider Active NPI

James M Lindsey, DDS

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1770666489
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007716A Issued in IN
Practice address
2516 Locust LN
Kokomo, IN 46902-2954
Phone
(765) 438-1955
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007716A IN Primary

Addresses

Primary practice location

2516 Locust LN
Kokomo, IN 46902-2954

Mailing address

2516 Locust LN
Kokomo, IN 46902-2954
Phone (765) 438-1955

Other practice location 1

3118 S LaFountain St
Kokomo, IN 46902-3710
Phone (765) 864-4160

Other identifiers 1

IdentifierTypeStateIssuer
100420230AMedicaidIN

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
I20220317001632 IN Practitioner - Dentist 9133447154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12007716AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Health Centers Inc CurrentSince Apr 18, 2022 Accepting new patients
Indiana Health Centers, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients

Locations

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

3118 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-4160

120 Saint Louis Ave
Seymour, IN 47274
Phone (812) 405-1857

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1770666489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 LOCUST LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022954",
            "telephone_number": "765-438-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 LOCUST LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022954",
            "telephone_number": "765-438-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 S LaFountain St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023710",
            "country_code": "US",
            "telephone_number": "765-864-4160",
            "fax_number": "765-400-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007716A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.