LFD Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LFD ORTHODONTICS LLC

Practice address

612 S Detroit St
Lagrange, IN 46761-2314

Phone

(260) 463-2111

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Kalyssa BontragerNPI 1386203693

Title

Owner

Phone

(260) 463-2111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kalyssa Mae Bontrager, DDS

  • Dentist
  • Lagrange, IN
  • NPI 1386203693
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1891551917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612314",
            "telephone_number": "260-463-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612314",
            "telephone_number": "260-463-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LFD ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "BONTRAGER",
        "authorized_official_first_name": "KALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-463-2111"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lang, DPT
• Emily E. Lehman, MSED
• Stephen A Leininger, MA
• Isaac Gerardo Leon-Acuna, MD
• Abby Marie Levitz, NP-C
• Kimberly K Luczkowski, MSW, LCSW
• Lynn R Bowen DDS PC
• Chelsea Lauren Maucher, NP
• Sarah Jean McCarty, MS, RDN, LD
• Kathryn M. McKible, NP

• All providers in Lagrange, IN
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.