Individual provider Active NPI

Steven G. Lesmeister, D.D.S.

  • General Practice Dentistry
  • McIntosh, MN
National Provider Identifier
1093944456
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12845 Issued in MN
Practice address
105 2ND Street SW
McIntosh, MN 56542
Phone
(218) 563-3001
Fax
(218) 563-3002
NPI assigned
Jul 7, 2009
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6426 WI
General Practice Dentistry 1223G0001X D12845 MN Primary

Addresses

Primary practice location

105 2ND Street SW
McIntosh, MN 56542

Mailing address

105 2ND St SW
P.O. Box 265
McIntosh, MN 56542
Phone (218) 563-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817001940 MN Order and Referring Only - DentistPractitioner - Dentist 3577835032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6426WIMDDentist
D12845MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1093944456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 2ND ST SW",
            "address_2": "P.O. BOX 265",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56542",
            "telephone_number": "218-563-3001",
            "fax_number": "218-563-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 2ND STREET SW",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56542",
            "telephone_number": "218-563-3001",
            "fax_number": "218-563-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESMEISTER",
        "first_name": "STEVEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6426",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McIntosh, MN

Sources for this page

Verify at the official NPI Registry.