Individual provider Active NPI

Lesley T. Baratz, D.M.D, F.A.G.D.

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1073533808
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51752 Issued in CA
Practice address
1137 Stanley Dollar Dr
Apt 2
Walnut Creek, CA 94595-2938
Phone
(609) 634-6599
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS023024L PA
Dentist 122300000X 51752 CA Primary

Addresses

Primary practice location

1137 Stanley Dollar Dr
Apt 2
Walnut Creek, CA 94595-2938

Mailing address

1137 Stanley Dollar Dr
Apt 2
Walnut Creek, CA 94595-2938
Phone (609) 634-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51752CAMDDentist
DS023024LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1073533808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 STANLEY DOLLAR DR",
            "address_2": "APT 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952938",
            "telephone_number": "609-634-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 STANLEY DOLLAR DR",
            "address_2": "APT 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952938",
            "telephone_number": "609-634-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATZ",
        "first_name": "LESLEY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D, F.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023024L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.