Active NPI
Alyssa Nicole Leboeuf
- Dentist
- Lincoln, NE
National Provider Identifier
1316430655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7465
- Practice address
- 1265 S Cotner Blvd Ste 1
Lincoln, NE 68510-4924 - Phone
- (402) 904-6001
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7465 | NE | Primary |
Addresses
Primary practice location
1265 S Cotner Blvd Ste 1
Lincoln, NE 68510-4924
Mailing address
8730 Fremont Street
Apt. 120
Lincoln, NE 68507
Phone (620) 704-3242
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1316430655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 FREMONT STREET",
"address_2": "APT. 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68507",
"telephone_number": "620-704-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S COTNER BLVD STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104924",
"telephone_number": "402-904-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOEUF",
"first_name": "ALYSSA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.