Krista N Lerner, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D009519 Issued in AZ

Practice address

1348 E Belmont Ave
Phoenix, AZ 85020-4570

Phone

(612) 325-3707

NPI assigned

Jan 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 29, 2017 through Aug 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boulder Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Boulder, CO
  • NPI 1467967307
  NPD (past)
• David J Rallis DDS MD Oral and Maxillofacial Surgery, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lincoln, NE
  • NPI 1760708218

  Oral and Maxillofacial Surgery

  NPD (past)
• Newby Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Overland Park, KS
  • NPI 1396552519
  NPD (past)
• Squire Oral, Facial & Dental Implant Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Longmont, CO
  • NPI 1396020657
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1437480779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 E BELMONT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204570",
            "telephone_number": "612-325-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 E BELMONT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204570",
            "telephone_number": "612-325-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "KRISTA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12657",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "S630",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D12657",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "1001166-15",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D009519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Estelle Leovic, PHYSICIAN ASSISTANT
• Michael Phillip Leovic, MD
• Ken Michael Lepinskas, DDS
• Abigail Rose Lepinski, DO
• Sandra Lerdal, AGNP
• Amanda Sarah Lernor, D.P.M.
• Charlotte Leroux, BPHARM, PHD
• David Ralph Lersch, MD
• Carmen Lervold, NP
• Michael Lesac, MD

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.