Lindsay Penchan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28037 Issued in TX

Practice address

3010 State Highway 121
Suite 300
Euless, TX 76039-5823

Phone

(817) 571-3368

Fax

(817) 571-3369

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Dental of Euless

  dba Parkside Dental

  • General Practice Dentistry
  • Euless, TX
  • NPI 1376837252
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1922354398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111B GLENWICK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 STATE HIGHWAY 121",
            "address_2": "SUITE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395823",
            "telephone_number": "817-571-3368",
            "fax_number": "817-571-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCHAN",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patelon PLLC
• Cheryl Patterson, OT
• Pax Home Health Care LLC
• PBH Professional Group, P.a.
• Peace Transit
• Franklin Terry Perkins III, M.D.
• Permanent Smiles Dental (Permanent Smiles Dental LLC)
• Rebecca Perthel, PA-C
• Diep Ngoc Pham, PHARMD
• Phases of Home Care LLC

• General Practice Dentistry in Euless, TX
• Providers in Euless, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.