DR. JAMIE LAZIN (NPI# 1043661028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043661028 |
| Entity Type | Individual |
| Full Name | DR. JAMIE LAZIN |
| Credential | DMD, MS, MSD |
| Practice Address |
11 E 58th St Indianapolis IN 46220-2519 |
| Practice Telephone | 4049311576 |
| Mailing Telephone | 4049311576 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12012549A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DENTAL LICENSE | 1201549A | 01 |
| Street Address |
11 E 58TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508376708 | Glander Rochford Orthodontics, LLC | Dentist | 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 | 2017-10-03 |
| 1063941391 | Premier Orthodontics LLC | Dentist | 8860 Zionsville Rd Ste B, Indianapolis, IN 46268-1043 | 2017-06-09 |
| 1699211169 | J. Orthodontics Inc | Dentist | 8071 Township Line Rd Ste 100, Indianapolis, IN 46260-2601 | 2017-01-09 |
| 1730561416 | Erin Zervas | Dentist | 6230 Tybalt Pl, Indianapolis, IN 46254-5164 | 2015-06-18 |
| 1376891200 | Marisa Anne Walker | Dentist | 7205 N Shadeland Ave, Indianapolis, IN 46250-2021 | 2012-08-27 |
| 1972884047 | Larrabee Orthodontics, Pllc | Dentist | 8513 Country Meadows Dr, Indianapolis, IN 46234-1881 | 2011-09-02 |
| 1114138187 | Karl William Glander II | Dentist | 7750 Madison Ave, Indianapolis, IN 46227-5606 | 2007-05-24 |
| 1447466925 | Karen Locke Cottingham | Dentist | 3916 Shore Dr, Indianapolis, IN 46254-2604 | 2007-05-14 |
| 1285847376 | Northeast Orthodontics | Dentist | 7205 North Shadeland Avenue, Indianapolis, IN 46250 | 2007-05-07 |
| 1396869087 | Growing Smiles Inc. | Dentist | 7210 Madison Ave Ste O, Indianapolis, IN 46227-5227 | 2007-03-19 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.