Harvard Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D5545 Issued in OR

Legal business name

HARVARD ENDODONTICS, LLC

Practice address

1813 W. Harvard Ave
Suite 240
Roseburg, OR 97471-8708

Phone

(541) 673-2383

Fax

(541) 440-6319

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Leslie Liesinger

Title

Office Manager

Phone

(541) 673-2383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Alan William Liesinger, DMD

  • Endodontics
  • Coos Bay, OR
  • NPI 1588771489
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1144657594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W. HARVARD AVE",
            "address_2": "SUITE 240",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718708",
            "telephone_number": "541-673-2383",
            "fax_number": "541-440-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W. HARVARD AVE",
            "address_2": "SUITE 240",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718708",
            "telephone_number": "541-673-2383",
            "fax_number": "541-440-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "LIESINGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-673-2383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D5545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D5545",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Harris
• Lori Ann Hart, APRN
• Galen V Hartzell, MSW
• Harvard Chiropractic Clinic, P.C.
• Harvard Counseling Center
• Harvard Lab & X-Ray, Inc
• Nicholas James Harvey
• Debra Hash
• Landon Haslem, MD,PHD
• Jeremiah J Hatcher

• Endodontics in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Endodontics in Oregon

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