Lift Dental PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

LIFT DENTAL PLLC

Practice address

124 2ND St S Ste 101
Stillwater, MN 55082-5179

Phone

(651) 439-4945

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sara Elizabeth Leonette Cody, DDSNPI 1386844785

Title

Dentist

Phone

(651) 439-4945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Sara Elizabeth Leonette Cody, DDS

  • General Practice Dentistry
  • Hudson, WI
  • NPI 1386844785
  NPD Authorized official
• Brian Lee Bunce, DDS

  • General Practice Dentistry
  • Stillwater, MN
  • NPI 1437116605
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1083178149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 2ND ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825058",
            "telephone_number": "651-439-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND ST S STE 101",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825179",
            "telephone_number": "651-439-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH LEONETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-439-4945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J Lessman, SLP
• Kim A Lewandowski, OTR/L
• Satori Abigail Lewen
• Wanda J Lickteig, OTR/L, CHT
• Lifetime Fat Loss Centers of Hugo LLC
• Light Therapy Products
• Marbel Lih
• Emily Ann Lindquist, PA-C
• Lisa C. Lindquist, M.S. CCC-SLP
• Kathryn Joesphine Linhoff

• Public Health Dentistry in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Public Health Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.