Active NPI
Jeff Lemon DMD
- Dentist
- Olympia, WA
National Provider Identifier
1275928251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 601978529
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Olympia, WA
- NPI 1346310919
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.