NPIMap

Organization Active NPI

Blackbelt Clinic

  • Family Medicine Physician
  • Livingston, AL
National Provider Identifier
1245486505
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25980 Issued in AL
Legal business name
BLACKBELT CLINIC
Practice address
1302 North Washington
Livingston, AL 35470-0000
Phone
(205) 652-2070
Fax
(205) 652-2071
NPI assigned
Aug 18, 2008
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Erik Paul Lessmann, M.D.
Title
Owner
Phone
(205) 652-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25980 AL Primary

Addresses

Primary practice location

1302 North Washington
Livingston, AL 35470-0000

Mailing address

1302 North Washington
Livingston, AL 35470-0000
Phone (205) 652-2070

National Provider Directory

National Provider Directory

Locations

1302 N Washington St
Livingston, AL 35470
Phone (205) 652-2070

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1245486505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 NORTH WASHINGTON",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354700000",
            "telephone_number": "205-652-2070",
            "fax_number": "205-652-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NORTH WASHINGTON",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354700000",
            "telephone_number": "205-652-2070",
            "fax_number": "205-652-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBELT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "LESSMANN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-652-2070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.