Organization Active NPI

John L Lesneski DDS PLC

  • General Practice Dentistry
  • Tawas City, MI
National Provider Identifier
1003115031
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19332 Issued in MI
Legal business name
JOHN L LESNESKI DDS PLC
Practice address
508 W Lake St
Tawas City, MI 48763-5106
Phone
(989) 362-6159
Fax
(989) 362-6798
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
John L Lesneski, DDS
Title
Owner
Phone
(989) 362-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19332 MI Primary

Addresses

Primary practice location

508 W Lake St
Tawas City, MI 48763-5106

Mailing address

P.O. Box 387
508 W. Lake Street
Tawas City, MI 48764-0387
Phone (989) 362-6159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1003115031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 387",
            "address_2": "508 W. LAKE STREET",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640387",
            "telephone_number": "989-362-6159",
            "fax_number": "989-362-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487635106",
            "telephone_number": "989-362-6159",
            "fax_number": "989-362-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L LESNESKI DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "LESNESKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-362-6159",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.