Elizabeth Standish, D.D.S., M.S.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12012992A Issued in IN

Practice address

3743 Landmark Dr Ste 300
Lafayette, IN 47905-6656

Phone

(765) 340-7790

Fax

(765) 680-0303

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Infinity Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Lafayette, IN
  • NPI 1760325518
  NPD Authorized official
• Lafayette Pediatric Dentistry & Orthodontics

  • Dentist
  • Lafayette, IN
  • NPI 1477869378
  NPD (past)
• University Pediatric Dentistry Associates

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1003947599
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1821472325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 KINGSWOOD RD S",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064671",
            "telephone_number": "409-370-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 LANDMARK DR STE 300",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056656",
            "telephone_number": "765-340-7790",
            "fax_number": "765-680-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDISH",
        "first_name": "ELIZABETH",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012992A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12012992A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L Srour, MD
• SRT Prosthetics & Orthotics LLC
• Nicole Srutowski
• St. Vincent Seton Specialty Hospital, Inc.
• Nick Stachelski
• Haiden Stanton
• Nicole Stapleton, CST
• Eric Wygant Stark, MD
• James Allen Starkweather, ATC
• Carol Irene Starr, LCSW ACSW

• Pediatric Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.