Organization Active NPI

Jeff Lemon DMD

  • Dentist
  • Olympia, WA
National Provider Identifier
1275928251
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
601978529 Issued in WA
Legal business name
JEFF LEMON DMD
Practice address
108 22ND Ave SW
Suite 12
Olympia, WA 98501-2871
Phone
(360) 943-5639
Fax
(360) 756-3525
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Jeff Lemon, DMD
Title
Dentist
Phone
(360) 943-5639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 601978529 WA Primary

Addresses

Primary practice location

108 22ND Ave SW
Suite 12
Olympia, WA 98501-2871

Mailing address

108 22 ND Ave SW
Suite 12
Olympia, WA 98501
UM
Phone (360) 943-5639

National Provider Directory

National Provider Directory

Locations

108 22nd Ave SW
Ste 12
Olympia, WA 98501
Phone (360) 943-5639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1275928251",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "108 22 ND AVE SW",
            "address_2": "SUITE 12",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-943-5639",
            "fax_number": "360-753-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "SUITE 12",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-943-5639",
            "fax_number": "360-756-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF LEMON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-943-5639",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "601978529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.