Active NPI
Connor Theodore Lemieux, DMD
- Dentist
- Kinston, NC
National Provider Identifier
1134860521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13453
- Practice address
- 1400 Industrial Dr
Kinston, NC 28504-7574 - Phone
- (525) 230-5442
- NPI assigned
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13453 | NC | Primary |
Addresses
Primary practice location
1400 Industrial Dr
Kinston, NC 28504-7574
Mailing address
615 Legacy CT Apt 81
Winterville, NC 28590-5107
Phone (978) 516-8095
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13453 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1134860521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 LEGACY CT APT 81",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285905107",
"telephone_number": "978-516-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 INDUSTRIAL DR",
"city": "KINSTON",
"state": "NC",
"postal_code": "285047574",
"telephone_number": "525-230-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMIEUX",
"first_name": "CONNOR",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.