Individual provider Active NPI

Elizabeth Leigh Papineau, D.D.S.

  • General Practice Dentistry
  • York, NE
National Provider Identifier
1891922704
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6830 Issued in NE
Practice address
1902 N Lincoln Ave
York, NE 68467-1024
Phone
(402) 362-1339
NPI assigned
Jun 18, 2009
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6830 NE
General Practice Dentistry 1223G0001X 6830 NE Primary

Addresses

Primary practice location

1902 N Lincoln Ave
York, NE 68467-1024

Mailing address

PO Box 402
York, NE 68467-0402
Phone (402) 362-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160111001971 NE Order and Referring Only - DentistPractitioner - Dentist 3678875432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6830NEMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1891922704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684670402",
            "telephone_number": "402-362-1339",
            "fax_number": "402-362-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671024",
            "telephone_number": "402-362-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPINEAU",
        "first_name": "ELIZABETH",
        "middle_name": "LEIGH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6830",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.