Organization Active NPI

Matthew E Lesh DMD PC

  • General Practice Dentistry
  • Longview, WA
National Provider Identifier
1174911044
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60318472 Issued in WA
Legal business name
MATTHEW E LESH DMD PC
Practice address
950 14TH Ave
Longview, WA 98632-2317
Phone
(360) 200-4924
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Matthew Eldon Lesh, DMD
Title
Owner
Phone
(360) 200-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60318472 WA Primary

Addresses

Primary practice location

950 14TH Ave
Longview, WA 98632-2317

Mailing address

950 14TH Ave
Longview, WA 98632-2317

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1174911044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322317",
            "telephone_number": "360-200-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E LESH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "LESH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-200-4924",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60318472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.