Active NPI
Lynn Dell Bode, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Richmond, IN
National Provider Identifier
1821372301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12011792A
- Practice address
- 2000 National Rd W
Richmond, IN 47374-3854 - Phone
- (765) 488-1072
- Fax
- (765) 381-1031
- NPI assigned
- Oct 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12011792A | IN | Primary |
Addresses
Primary practice location
2000 National Rd W
Richmond, IN 47374-3854
Mailing address
2000 National Rd W
Richmond, IN 47374-3854
Phone (765) 488-1072
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 |
|---|---|---|---|
| 12011792A | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1821372301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NATIONAL RD W",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473743854",
"telephone_number": "765-488-1072",
"fax_number": "765-381-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NATIONAL RD W",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473743854",
"telephone_number": "765-488-1072",
"fax_number": "765-381-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODE",
"first_name": "LYNN",
"middle_name": "DELL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IN",
"license": "12011792A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.