Individual provider Active NPI

James Robert Lessig, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Centennial, CO
National Provider Identifier
1538268917
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6801 Issued in CO
Practice address
9094 E Mineral Ave
Suite 260
Centennial, CO 80112
Phone
(303) 768-8570
Fax
(303) 768-8572
NPI assigned
Sep 21, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6801 CO Primary

Addresses

Primary practice location

9094 E Mineral Ave
Suite 260
Centennial, CO 80112

Mailing address

9094 E Mineral Ave Suite 260 Centennial
Centennial, CO 80112
Phone (303) 768-8570

Other identifiers 1

IdentifierTypeStateIssuer
02068013MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Opted out of Medicare
Yes, effective Jul 3, 2026 through Jul 3, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000368 CO Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 4880794130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Jan 1, 2000 Accepting new patients
Advanced Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Dec 22, 2020 Accepting new patients
Advanced Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince Dec 22, 2020 Accepting new patients

Locations

10120 E Dry Creek Rd
Ste 100
Englewood, CO 80112
Phone (303) 768-8570

10146 W San Juan Way
Unit 210
Littleton, CO 80127
Phone (303) 768-8570

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1538268917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL AVE SUITE 260 CENTENNIAL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-768-8570",
            "fax_number": "303-768-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL AVE",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-768-8570",
            "fax_number": "303-768-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSIG",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068013",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.