Active NPI
Lena B Fermback, D.D.S.
- Dentist
- Warsaw, IN
National Provider Identifier
1891938767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 128008691
- Practice address
- 1010 S Union St
Warsaw, IN 46580-4706 - Phone
- (574) 267-3040
- Fax
- (574) 268-2530
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 128008691 | IN | Primary |
Addresses
Primary practice location
1010 S Union St
Warsaw, IN 46580-4706
Mailing address
1010 S Union St
Warsaw, IN 46580-4706
Phone (574) 267-3040
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 |
|---|---|---|---|
| 128008691 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lena B Fermback DDS PC | 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.
-
- Dentist
- Warsaw, IN
- NPI 1134265846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1891938767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S UNION ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465804706",
"telephone_number": "574-267-3040",
"fax_number": "574-268-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S UNION ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465804706",
"telephone_number": "574-267-3040",
"fax_number": "574-268-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERMBACK",
"first_name": "LENA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "128008691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.