Active NPI
Lindsay Bancroft, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1972811479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60840
- Practice address
- 3205 Cowley Way Apt 3
San Diego, CA 92117-6365 - Phone
- (716) 432-9554
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 60840 | CA | Primary |
Addresses
Primary practice location
3205 Cowley Way Apt 3
San Diego, CA 92117-6365
Mailing address
3205 Cowley Way Apt 3
San Diego, CA 92117-6365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170317002054 | CA | Order and Referring Only - Oral Surgery | 1759666597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1972811479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 COWLEY WAY APT 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 COWLEY WAY APT 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176365",
"telephone_number": "716-432-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANCROFT",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.