NPIMap

Organization Active NPI

Lesmeister Dental LLC

Doing business as Win-E-Mac Dental

  • General Practice Dentistry
  • Crookston, MN
National Provider Identifier
1336594449
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12845 Issued in MN
Legal business name
LESMEISTER DENTAL LLC
Doing business as
Win-E-Mac Dental
Practice address
1726 University Ave
Crookston, MN 56716
Phone
(218) 281-4323
Fax
(218) 281-1722
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Joanna D Nesvold
Title
Bookkeeping
Phone
(218) 281-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D12845 MN Primary

Addresses

Primary practice location

1726 University Ave
Crookston, MN 56716

Mailing address

1726 University Ave
PO Box 498
Crookston, MN 56716
Phone (218) 281-4323

Other names 1

  • Win-E-Mac Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lesmeister Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1726 University Ave
Crookston, MN 56716
Phone (218) 281-4323

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1336594449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 UNIVERSITY AVE",
            "address_2": "PO BOX 498",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "56716",
            "telephone_number": "218-281-4323",
            "fax_number": "218-281-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 UNIVERSITY AVE",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "56716",
            "telephone_number": "218-281-4323",
            "fax_number": "218-281-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESMEISTER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "NESVOLD",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BOOKKEEPING",
        "authorized_official_telephone_number": "218-281-4323"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Win-E-Mac Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Win-E-Mac Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crookston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.