Individual provider Active NPI

Lesley Lambert Weidert, D.D.S.

  • General Practice Dentistry
  • Advance, NC
National Provider Identifier
1144719352
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13612 Issued in NC
Practice address
149 Yadkin Valley Rd
Suite 101
Advance, NC 27006
Phone
(336) 998-1076
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4908 ME
General Practice Dentistry 1223G0001X 13612 NC Primary

Addresses

Primary practice location

149 Yadkin Valley Rd
Suite 101
Advance, NC 27006

Mailing address

149 Yadkin Valley Rd
Suite 101
Advance, NC 27006
Phone (336) 998-1076

Other practice location 1

3902 Precision Dr Unit C
Fort Collins, CO 80528-4535
Phone (828) 719-6291

Other names 1

  • Lesley Erin Lambert Former name

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

LicenseStateTypeSpecialty
DEN4908MEMDGeneral Practice Dentistry
13612NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Li DMD CurrentSince Nov 17, 2024 Accepting new patients
Amy Li DMD 3 PLLC General Practice PastSince Nov 17, 2024 Accepting new patients
Oakes, LLC General Practice PastSince Jan 1, 2023 Accepting new patients

Locations

149 Yadkin Valley Rd
Ste 101
Advance, NC 27006
Phone (336) 998-1076

Organizations & group practices 3

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1144719352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 YADKIN VALLEY RD",
            "address_2": "SUITE 101",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "27006",
            "telephone_number": "336-998-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 YADKIN VALLEY RD",
            "address_2": "SUITE 101",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "27006",
            "telephone_number": "336-998-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 Precision Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805284535",
            "country_code": "US",
            "telephone_number": "828-719-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDERT",
        "first_name": "LESLEY",
        "middle_name": "LAMBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-11-15",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4908",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "LAMBERT",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.