Individual provider Active NPI

Leonard Kenneth Lamberty, M.D.

  • Public Health & General Preventive Medicine Physician
  • Wadena, MN
National Provider Identifier
1386936086
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
23146 Issued in MN
Practice address
22 Dayton Ave SE
Wadena, MN 56482-1526
Phone
(218) 631-7629
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23146 MN
Public Health & General Preventive Medicine Physician 2083P0901X 23146 MN Primary

Addresses

Primary practice location

22 Dayton Ave SE
Wadena, MN 56482-1526

Mailing address

22512 Green Day Dr
Park Rapids, MN 56470-6306
Phone (218) 732-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23146MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wadena Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1386936086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22512 GREEN DAY DR",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564706306",
            "telephone_number": "218-732-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DAYTON AVE SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821526",
            "telephone_number": "218-631-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTY",
        "first_name": "LEONARD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "23146",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MN",
            "license": "23146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

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