Raffi Leblebijian Dr Raffi Leblebijian & Assoc

Primary specialty

DentistTaxonomy code 122300000X

License

019020125 Issued in IL

Legal business name

RAFFI LEBLEBIJIAN DR RAFFI LEBLEBIJIAN & ASSOC

Practice address

401 N Wall St
Suite 203
Kankakee, IL 60901-2934

Phone

(815) 933-4121

Fax

(815) 933-6744

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Raffi Leblebijian, DDS

Title

Owner

Phone

(815) 933-4121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pathik K Patel, DMD

  • Student in an Organized Health Care Education/Training Program
  • Bourbonnais, IL
  • NPI 1942133137
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1083040414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI LEBLEBIJIAN DR RAFFI LEBLEBIJIAN & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "LEBLEBIJIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-933-4121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Rose Printy, APRN, FNP-BC
• Provider Healthcare Services, Inc
• Samia Qadir, DO
• Holly J Quint
• Omar Ahmed Rafa, DO
• Robert Alan Raley, DPM
• Renuka J Ramakrishna, M.D.
• Benjamin Alejandro Ramirez, M.S-SLP
• Tonya Jean Randle, PTA
• Vickram Reddy, MD

• Dentist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.