Individual provider Active NPI

Jeffrey Ryan Lehr, D.D.S

  • Dentist
  • Monterey, CA
National Provider Identifier
1366705972
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061390 Issued in CA
Practice address
333 El Dorado St
Monterey, CA 93940-4606
Phone
(831) 373-3068
Fax
(831) 655-6434
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061390 CA Primary

Addresses

Primary practice location

333 El Dorado St
Monterey, CA 93940-4606

Mailing address

333 El Dorado St
Monterey, CA 93940-4606
Phone (831) 373-3068

Other names 1

  • Dr. Ryan Lehr Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522001233 CA Order and Referring Only - Other (Non-Physician) 2163742602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061390CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1366705972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-373-3068",
            "fax_number": "831-655-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-373-3068",
            "fax_number": "831-655-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHR",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "061390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "LEHR",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.