NPIMap

Organization Active NPI

Lechtenberg Dental Clinic

  • Dentist
  • Maquoketa, IA
National Provider Identifier
1376700898
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7451 Issued in IA
Legal business name
LECHTENBERG DENTAL CLINIC
Practice address
129 W Pleasant St
Maquoketa, IA 52060-3046
Phone
(563) 652-3438
Fax
(563) 652-0138
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Joseph A Lechtenberg Jr., DDSNPI 1750476669
Title
General Dentist
Phone
(563) 652-3438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7451 IA Primary

Addresses

Primary practice location

129 W Pleasant St
Maquoketa, IA 52060-3046

Mailing address

129 W Pleasant St
Maquoketa, IA 52060-3046
Phone (563) 652-3438

Other identifiers 3

IdentifierTypeStateIssuer
0080440MedicaidIA
07318OtherWELLMARK
841612OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

129 W Pleasant St
Maquoketa, IA 52060
Phone (563) 652-3438

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1376700898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W PLEASANT ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603046",
            "telephone_number": "563-652-3438",
            "fax_number": "563-652-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W PLEASANT ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603046",
            "telephone_number": "563-652-3438",
            "fax_number": "563-652-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECHTENBERG DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LECHTENBERG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "563-652-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "7451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080440",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "07318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "841612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.