Individual provider Active NPI

Jillian Lebard, DDS

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1144694035
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65131 Issued in CA
Practice address
34460 Monterey Ave Ste 100
Palm Desert, CA 92211-6008
Phone
(760) 610-0358
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 65131 CA Primary

Addresses

Primary practice location

34460 Monterey Ave Ste 100
Palm Desert, CA 92211-6008

Mailing address

810 E Palm Canyon Dr Unit 201
Palm Springs, CA 92264-2543

Other practice location 1

810 E Palm Canyon Dr Unit 201
Palm Springs, CA 92264-2543
Phone (952) 212-6446

Other practice location 2

2150 E Tahquitz Canyon Way Ste 2
Palm Springs, CA 92262-6817
Phone (760) 416-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170331001965 CA Order and Referring Only - DentistPractitioner - Dentist 5395020432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J Scott Shepherd DMD Inc Past Accepting new patients
Hanna and Rygg Dental Corporation General Practice PastSince May 8, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1144694035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E PALM CANYON DR UNIT 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922642543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34460 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116008",
            "telephone_number": "760-610-0358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E Palm Canyon Dr Unit 201",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922642543",
            "country_code": "US",
            "telephone_number": "952-212-6446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 E Tahquitz Canyon Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922626817",
            "country_code": "US",
            "telephone_number": "760-416-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBARD",
        "first_name": "JILLIAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.