Lekavich Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

38866 Issued in CA

Legal business name

LEKAVICH DENTAL CORPORATION

Practice address

217 Palos Verdes Blvd
#105
Redondo Beach, CA 90277-5820

Phone

(310) 373-5616

Fax

(310) 872-5459

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Floran Lekavich, D.D.S.NPI 1194852996

Title

President

Phone

(310) 373-5616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Timothy Florian Lekavich, D.D.S.

  • Dentist
  • Redondo Beach, CA
  • NPI 1194852996
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1013118686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PALOS VERDES BLVD",
            "address_2": "#105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775820",
            "telephone_number": "310-373-5616",
            "fax_number": "310-872-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PALOS VERDES BLVD",
            "address_2": "#105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775820",
            "telephone_number": "310-373-5616",
            "fax_number": "310-872-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEKAVICH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "LEKAVICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FLORAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-373-5616",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G89891-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Irene Lee, CMT
• Seung Eun Lee, PT, DPT
• Su-Chen Lee, DAOM
• Sun Kyung Lee
• Vivianne Lee
• Timothy Florian Lekavich, D.D.S.
• Leland G Whitson MD Inc
• Denise Lynn Lemke, OD
• Odette Leonelli
• Darryl Leong, MD, MPH

• Dentist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.