Individual provider Active NPI

Beth Alison Bachman, D.D.S.

  • Dentist
  • Greenwood, IN
National Provider Identifier
1861624686
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011308A Issued in IN
Practice address
494 S Emerson Ave Ste K
Greenwood, IN 46143-1953
Phone
(317) 882-2880
Fax
(317) 882-2544
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011308A IN Primary

Addresses

Primary practice location

494 S Emerson Ave Ste K
Greenwood, IN 46143-1953

Mailing address

494 S Emerson Ave Ste K
Greenwood, IN 46143-1953
Phone (317) 882-2880

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
I20110629000232 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426236159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011308AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bachman Group, P.C. Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1861624686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 S EMERSON AVE STE K",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431953",
            "telephone_number": "317-882-2880",
            "fax_number": "317-882-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 S EMERSON AVE STE K",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431953",
            "telephone_number": "317-882-2880",
            "fax_number": "317-882-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "BETH",
        "middle_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011308A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.