Active NPI
Jillian Lebard, DDS
- General Practice Dentistry
- Palm Desert, CA
National Provider Identifier
1144694035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 65131
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170331001965 | CA | Order and Referring Only - Dentist | 5395020432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Scott Shepherd DMD Inc | Past | Accepting new patients | |
| Hanna and Rygg Dental Corporation | General Practice | Past | 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.
-
dba Desert Gateway Dental Group
- General Practice Dentistry
- Palm Desert, CA
- NPI 1356524334
-
dba Palm Springs Dental Practice
- Dental Clinic/Center
- Palm Springs, CA
- NPI 1124426788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.