David Michael Lebsack, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

013071 Issued in MO

Practice address

3105 Frederick Ave Ste a
Suite #a
Saint Joseph, MO 64506-3074

Phone

(816) 279-2435

Fax

(816) 279-7426

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053438655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 FREDERICK AVE STE A",
            "address_2": "SUITE #A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063074",
            "telephone_number": "816-279-2435",
            "fax_number": "816-279-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 FREDERICK AVE STE A",
            "address_2": "SUITE #A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063074",
            "telephone_number": "816-279-2435",
            "fax_number": "816-279-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBSACK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "013071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Ray Lawrence, B.S.PHARM
• Courtney Rebecca Laws, PTA
• Khang Duc Le, MD
• Merri Catherine Leach, RD, LD
• Jesse R Lease, DPT, PT
• Richard Andrew Lecuru, MD
• Jennifer M Lee, STUDENT
• Kelly Lemmon, LMSW
• Douglas D Lenners, PT/ATC
• Lilian A Leonardo

• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.