DR. ELLEN CAMILLE RIEBSOMER (NPI# 1972821387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972821387 |
| Entity Type | Individual |
| Full Name | DR. ELLEN CAMILLE RIEBSOMER |
| Credential | D.D.S. |
| Practice Address |
1324 Tippecanoe St Lafayette IN 47904-2051 |
| Practice Telephone | 7657421567 |
| Mailing Telephone | 7657421567 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12011346A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200967490 | 05 |
| Street Address |
1324 TIPPECANOE ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386876233 | Riggs Community Health Center Annex | Clinic/Center | 1324 Tippecanoe St, Lafayette, IN 47904-2051 | 2009-08-11 |
| 1568924009 | Amanda Moss | Social Worker | 1324 Tippecanoe St, Lafayette, IN 47904-2051 | 2019-04-03 |
| 1386173862 | Christy Lanjie Chen | Dentist | 1324 Tippecanoe St, Lafayette, IN 47904-2051 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519883 | Indian Peaks Dental PC | Dentist | 1319 W Baseline Rd Ste 200, Lafayette, CO 80026-9308 | 2019-07-16 |
| 1609430156 | Guido Family Dentistry | Dentist | 150 Professional Ct Ste B, Lafayette, IN 47905-5153 | 2019-04-30 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1053802801 | Jessica Reed Neu | Dentist | 5540 Johnston St, Lafayette, LA 70503-5138 | 2018-05-27 |
| 1285142026 | Lafayette Westend Dental LLC | Dentist | 311 Sagamore Pkwy N Ste 2, Lafayette, IN 47904-2800 | 2018-01-15 |
| 1649787649 | Erin A. Fontenot D.d.s., L.L.C. | Dentist | 1105 S College Rd Ste B, Lafayette, LA 70503-3067 | 2017-12-29 |
| 1841716602 | Bryan Patrick Villescas | Dentist | 1255 Cimarron Dr Ste 101, Lafayette, CO 80026-1282 | 2017-08-14 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1457715062 | Jesus Loza Salinas | Dentist | 1345 Plaza Ct N Ste 1a, Lafayette, CO 80026-2832 | 2016-04-09 |
| 1598147712 | Kathleen Adley Darnall | Dentist | 185 S. Beadle Rd., Lafayette, LA 70508 | 2015-06-24 |
| Find all providers in LAFAYETTE | ||||
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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.