Organization Active NPI

Johanna Lerzundy DDS, PA

  • Dental Clinic/Center
  • Durham, NC
National Provider Identifier
1518612696
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHANNA LERZUNDY DDS, PA
Practice address
1858 Hillandale Rd Ste 200
Durham, NC 27705-2697
Phone
(919) 471-1064
Fax
(919) 479-1841
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Dr. Johanna Lerzundy, DDSNPI 1700227907
Title
Dentist
Phone
(919) 667-8421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1858 Hillandale Rd Ste 200
Durham, NC 27705-2697

Mailing address

3505 Teravista Way
Raleigh, NC 27616-9312
Phone (919) 667-8421

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1518612696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 TERAVISTA WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169312",
            "telephone_number": "919-667-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 HILLANDALE RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052697",
            "telephone_number": "919-471-1064",
            "fax_number": "919-479-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA LERZUNDY DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "LERZUNDY",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-667-8421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.