Active NPI
Lucas A Lemburg, DDS
- Dentist
- Columbus City, IA
National Provider Identifier
1225290141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08541
- Practice address
- 2409 Spring St
Columbus City, IA 52737-9302 - Phone
- (319) 728-7402
- Fax
- (319) 728-7404
- NPI assigned
- Jul 1, 2008
- 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 | 08541 | IA | Primary |
Addresses
Primary practice location
2409 Spring St
Columbus City, IA 52737-9302
Mailing address
2409 Spring St
Columbus City, IA 52737-9302
Phone (319) 728-7402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08541 | Other | IA | STATE LIC |
| 1255339750 | Medicaid | IA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1225290141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 SPRING ST",
"city": "COLUMBUS CITY",
"state": "IA",
"postal_code": "527379302",
"telephone_number": "319-728-7402",
"fax_number": "319-728-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 SPRING ST",
"city": "COLUMBUS CITY",
"state": "IA",
"postal_code": "527379302",
"telephone_number": "319-728-7402",
"fax_number": "319-728-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBURG",
"first_name": "LUCAS",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "08541",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255339750",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.