Individual provider Active NPI

Christine Antonio Lemon, D.D.S.

  • Dental Anesthesiology
  • Peoria, AZ
National Provider Identifier
1245765668
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
D010696 Issued in AZ
Practice address
14100 N 83Rd Ave Ste 280
Peoria, AZ 85381-5660
Phone
(602) 820-0288
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X D010696 AZ Primary

Addresses

Primary practice location

14100 N 83Rd Ave Ste 280
Peoria, AZ 85381-5660

Mailing address

8980 Via Vista Cir
Las Vegas, NV 89147-6535
Phone (702) 501-2687

Other practice location 1

5800 3rd Ave
Brooklyn, NY 11220-3702
Phone (718) 630-7332

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

LicenseStateTypeSpecialty
D010696AZMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine a. Lemon PLLC Dental Anesthesiology Current Accepting new patients

Locations

14100 N 83rd Ave
Ste 280
Peoria, AZ 85381
Phone (602) 820-0288

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1245765668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 VIA VISTA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476535",
            "telephone_number": "702-501-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 280",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815660",
            "telephone_number": "602-820-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203702",
            "country_code": "US",
            "telephone_number": "718-630-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMON",
        "first_name": "CHRISTINE",
        "middle_name": "ANTONIO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D010696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.