Raffi K Leblebijian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A20125 Issued in IL

Practice address

401 N Wall St
Suite 203
Kankakee, IL 60901-2934

Phone

(815) 933-4121

Fax

(815) 933-6744

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Raffi Leblebijian

  • General Practice Dentistry
  • Bourbonnais, IL
  • NPI 1033085337
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1376594754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLEBIJIAN",
        "first_name": "RAFFI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A20125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna L. Lambert, FNP-BC
• Sara Lambert, SLP
• Peter Douglas Lamotte, LCSW
• Brenda L. Lamping, FNP-BC
• Soren David Lang, M. D.
• Katherine Marie Leclear, APRN
• Catherine Ann Ledesma
• Jeongwon Lee, DO
• Stefanie Ann Lem, PSYD
• Rebecca Leonhardt, FNP

• General Practice Dentistry in Kankakee, IL
• Providers in Kankakee, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.