NPIMap

Organization Active NPI

Lisbet Cherniavsky, DDS PLLC

Doing business as Blue Ridge Dentistry

  • General Practice Dentistry
  • Boone, NC
National Provider Identifier
1376755546
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104691 Issued in NC
Legal business name
LISBET CHERNIAVSKY, DDS PLLC
Doing business as
Blue Ridge Dentistry
Blue Ridge General Dentistry
Practice address
870 State Farm Rd Ste 103a
Boone, NC 28607-4862
Phone
(828) 264-3333
Fax
(828) 264-6340
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Jessica Johnson
Title
Practice Manager
Phone
(828) 264-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 104691 NC Primary

Addresses

Primary practice location

870 State Farm Rd Ste 103a
Boone, NC 28607-4862

Mailing address

PO Box 1038
Boone, NC 28607-1038
Phone (828) 264-3333

Other names 2

  • Blue Ridge Dentistry Doing business as
  • Blue Ridge General Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

870 State Farm Rd
Ste 103A
Boone, NC 28607
Phone (828) 264-3333

Practitioners & affiliated clinicians

Practitioners 10

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1376755546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071038",
            "telephone_number": "828-264-3333",
            "fax_number": "828-264-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 STATE FARM RD STE 103A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074862",
            "telephone_number": "828-264-3333",
            "fax_number": "828-264-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISBET CHERNIAVSKY, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-264-3333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "104691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.