Individual provider Active NPI

David A. Lester, D.D.S.

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1154314599
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6847 Issued in OR
Practice address
2834 Crescent Ave
Eugene, OR 97408-7397
Phone
(541) 686-9372
Fax
(541) 485-6706
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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 D6847 OR Primary

Addresses

Primary practice location

2834 Crescent Ave
Eugene, OR 97408-7397

Mailing address

2834 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001481 OR Order and Referring Only - Other (Non-Physician) 6901867241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6847ORMDGeneral Practice Dentistry
D7865ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Lester, DDS, PC PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1154314599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 CRESCENT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087397",
            "telephone_number": "541-686-9372",
            "fax_number": "541-485-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 CRESCENT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087397",
            "telephone_number": "541-686-9372",
            "fax_number": "541-485-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.