Timothy Florian Lekavich, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

38866 Issued in CA

Practice address

217 Palos Verdes Blvd # 105
Redondo Beach, CA 90277-5820

Phone

(310) 373-5616

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tlekavich13157@direct.uclahealth.org

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.

• Lekavich Dental Corporation

  • Dentist
  • Redondo Beach, CA
  • NPI 1013118686
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194852996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PALOS VERDES BLVD # 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775820",
            "telephone_number": "310-373-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PALOS VERDES BLVD # 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775820",
            "telephone_number": "310-373-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKAVICH",
        "first_name": "TIMOTHY",
        "middle_name": "FLORIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Eun Lee, PT, DPT
• Su-Chen Lee, DAOM
• Sun Kyung Lee
• Vivianne Lee
• Lekavich Dental Corporation
• Leland G Whitson MD Inc
• Denise Lynn Lemke, OD
• Odette Leonelli
• Darryl Leong, MD, MPH
• Alan S. Lert, PH.D.

• Dentist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.