Active NPI
Regina Park Lederman, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1154677367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 00006225
- Practice address
- 14575 Bel Red Rd Ste 101
Bellevue, WA 98007-3908 - Phone
- (425) 241-9555
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- 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 | DE 00006225 | WA | Primary |
Addresses
Primary practice location
14575 Bel Red Rd Ste 101
Bellevue, WA 98007-3908
Mailing address
14575 Bel Red Rd Ste 101
Bellevue, WA 98007-3908
Phone (425) 241-9555
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 |
|---|---|---|---|
| DE 00006225 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lederman & Lederman PLLC | Past | 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.
-
- General Practice Dentistry
- Bellevue, WA
- NPI 1225986508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1154677367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14575 BEL RED RD STE 101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073908",
"telephone_number": "425-241-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14575 BEL RED RD STE 101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073908",
"telephone_number": "425-241-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "REGINA",
"middle_name": "PARK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 00006225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.