Individual provider Active NPI

Elizabeth Lenchner

  • Pediatric Dentistry
  • Davie, FL
National Provider Identifier
1982262853
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN25748 Issued in FL
Practice address
4401 S Flamingo Rd Ste 109
Davie, FL 33330-1914
Phone
(954) 236-3434
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN25748 FL Primary

Addresses

Primary practice location

4401 S Flamingo Rd Ste 109
Davie, FL 33330-1914

Mailing address

4401 S Flamingo Rd Ste 109
Davie, FL 33330-1914
Phone (954) 236-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190809001080 NY Order and Referring Only - DentistPractitioner - Dentist 8325375660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN25748FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Associates PLLC Pediatric Dentistry Past Accepting new patients
Grosman Pediatric Dentistry and Orthodontics Pediatric Dentistry PastSince Oct 17, 2021 Accepting new patients
University Pediatric Dentistry, P.C. Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1982262853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S FLAMINGO RD STE 109",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301914",
            "telephone_number": "954-236-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S FLAMINGO RD STE 109",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301914",
            "telephone_number": "954-236-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENCHNER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN25748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.