Individual provider Active NPI

Lorie Goodpaster Brinson, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1972633352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010346A Issued in IN
Practice address
3934 W 96TH St
Ste B
Indianapolis, IN 46268-2908
Phone
(317) 228-0195
Fax
(317) 228-0246
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010346A IN Primary

Addresses

Primary practice location

3934 W 96TH St
Ste B
Indianapolis, IN 46268-2908

Mailing address

3934 W 96TH St
Ste B
Indianapolis, IN 46268-2908
Phone (317) 228-0195

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

LicenseStateTypeSpecialty
12010346AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lorie G Brinson, DDS, PC PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972633352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 W 96TH ST",
            "address_2": "STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682908",
            "telephone_number": "317-228-0195",
            "fax_number": "317-228-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 W 96TH ST",
            "address_2": "STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682908",
            "telephone_number": "317-228-0195",
            "fax_number": "317-228-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "LORIE",
        "middle_name": "GOODPASTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010346A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.