Lisa Henrika Van Eyndhoven, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8683136 Issued in NY

Practice address

103 Chesapeake Blvd Ste E
Elkton, MD 21921-6391

Phone

(410) 648-2211

NPI assigned

Mar 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lvaneyndhoven846464@nychhc.direct-ci.com

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.

• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1982979506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD STE E",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216391",
            "telephone_number": "410-648-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD STE E",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216391",
            "telephone_number": "410-648-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EYNDHOVEN",
        "first_name": "LISA",
        "middle_name": "HENRIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15660",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02558300",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "8683136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Bay Counseling&Support Services
• Upper Bay Surgery Center, LLC
• Upper Chesapeake Neurodiagnostics
• Upper Chesapeake Surgical Associates, LLC
• Usacs Integrated Acute Care Services of Maryland, LLC
• April Lynn Van Luven, RD
• Vans R US LLC
• Vargha Abbasian DDS, PC
• Vivek Kumar Varma, M.D.
• Nadiya Vazquez

• Pediatric Dentistry in Elkton, MD
• Providers in Elkton, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.