Organization Active NPI

Plains Ear, Nose, Throat & Facial Plastic Surgery PC

  • Facial Plastic Surgery Physician
  • West Fargo, ND
National Provider Identifier
1003199829
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
10000 Issued in ND
Legal business name
PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC
Practice address
350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401
Phone
(701) 235-1924
Fax
(701) 235-6304
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Lesley A Soine, MDNPI 1700944915
Title
Owner
Phone
(701) 235-1924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X 10000 ND Primary

Addresses

Primary practice location

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401

Mailing address

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401
Phone (701) 235-1924

Other names 1

  • Plains Ear, Nose, Throat & Facial Plastic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000639 ND Part B Supplier - Clinic/Group Practice 3678747896 Receives reassigned benefits from 1 practitioner
Practice locations: West Fargo, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1003199829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401",
            "telephone_number": "701-235-1924",
            "fax_number": "701-235-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401",
            "telephone_number": "701-235-1924",
            "fax_number": "701-235-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SOINE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-235-1924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "ND",
            "license": "10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plains Ear, Nose, Throat & Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.