Individual provider Active NPI

Christopher S. Lea, DDS

  • Endodontics
  • Richmond Hill, GA
National Provider Identifier
1295783298
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN013079 Issued in GA
Practice address
10220 Ford Ave
Suite 101
Richmond Hill, GA 31324-8825
Phone
(912) 756-5960
Fax
(912) 756-5964
NPI assigned
May 4, 2006
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 04843 AZ
Endodontics 1223E0200X DN013079 GA Primary

Addresses

Primary practice location

10220 Ford Ave
Suite 101
Richmond Hill, GA 31324-8825

Mailing address

460 River Bend Rd
Richmond Hill, GA 31324-4308
Phone (912) 756-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 21, 2016 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04843AZMDEndodontist
DN013079GAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Lea Endodontics, Inc Endodontics Past Accepting new patients
Liberty Trails Endodontics, LLC Endodontics Past Accepting new patients
Golden Isles Endodontics, LLC Endodontics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1295783298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 RIVER BEND RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244308",
            "telephone_number": "912-756-5960",
            "fax_number": "912-756-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 FORD AVE",
            "address_2": "SUITE 101",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248825",
            "telephone_number": "912-756-5960",
            "fax_number": "912-756-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "04843",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN013079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.