NPIMap

Organization Active NPI

Lisa Leniski, DDS, MSD, LLC

Doing business as Michigan City Pediatric Dentistry

  • Pediatric Dentistry
  • Michigan City, IN
National Provider Identifier
1376945634
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12010935A Issued in IN
Legal business name
LISA LENISKI, DDS, MSD, LLC
Doing business as
Michigan City Pediatric Dentistry
Practice address
211 E. 4TH Street
Michigan City, IN 46360-3364
Phone
(219) 879-4559
Fax
(219) 879-4559
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mrs. Lisa M Leniski, DDS, MSDNPI 1093849424
Title
Owner/President
Phone
(219) 879-4559

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12010935A IN Primary

Addresses

Primary practice location

211 E. 4TH Street
Michigan City, IN 46360-3364

Mailing address

211 Medical PLZ
Michigan City, IN 46360-3364
Phone (219) 879-4559

Other names 1

  • Michigan City Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1376945634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MEDICAL PLZ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603364",
            "telephone_number": "219-879-4559",
            "fax_number": "219-879-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E. 4TH STREET",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603364",
            "telephone_number": "219-879-4559",
            "fax_number": "219-879-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LENISKI, DDS, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "LENISKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "219-879-4559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010935A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan City Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.