Active NPI
Andrew Cody Lejman, DDS
- Dentist
- Leland, NC
National Provider Identifier
1144896929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12194
- Practice address
- 509 Olde Waterford Way Ste 300
Leland, NC 28451-4171 - Phone
- (910) 383-0100
- NPI assigned
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 12194 | NC | Primary |
Addresses
Primary practice location
509 Olde Waterford Way Ste 300
Leland, NC 28451-4171
Mailing address
2532 Confederate Dr
Wilmington, NC 28403-0222
Phone (631) 278-3293
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 |
|---|---|---|---|
| 12194 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1144896929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 CONFEDERATE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284030222",
"telephone_number": "631-278-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLDE WATERFORD WAY STE 300",
"city": "LELAND",
"state": "NC",
"postal_code": "284514171",
"telephone_number": "910-383-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEJMAN",
"first_name": "ANDREW",
"middle_name": "CODY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.