Elizabeth Ninan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031232 Issued in IL

Practice address

29W150 Butterfield Rd Ste 101
Warrenville, IL 60555-2805

Phone

(630) 965-1850

NPI assigned

Jul 11, 2017

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Locations

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.

• Elizabeth Ninan DDS PC

  dba Iris Family Dental

  • General Practice Dentistry
  • Warrenville, IL
  • NPI 1336863810
  NPD Authorized official

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1942722012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29W150 BUTTERFIELD RD STE 101",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29W150 BUTTERFIELD RD STE 101",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552805",
            "telephone_number": "630-965-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031232",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurosurgery Spine & Pain Assoc PC (Midwest Neurosurgery & Spine Specialists PC)
• New Hope Clinical Services, LLC
• New Reflection Clinical Services
• Sara Y Niederbrach
• Nimble Corporation
• Allisun Marie Noe, PSY.D.
• Mary T Norek, MD
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)

• General Practice Dentistry in Warrenville, IL
• Providers in Warrenville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.