Active NPI
Kieran Joji Lenehan, DMD
- General Practice Dentistry
- Reno, NV
National Provider Identifier
1609140185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62879
- Practice address
- 3674 S Virginia St
Reno, NV 89502-6015 - Phone
- (775) 326-2995
- NPI assigned
- Mar 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62879 | CA | Primary |
Addresses
Primary practice location
3674 S Virginia St
Reno, NV 89502-6015
Mailing address
3674 S Virginia St
Reno, NV 89502-6015
Phone (760) 703-4964
Other practice location 1
5901 E 7th St
Long Beach, CA 90822-5201
Phone (760) 703-4964
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62879 | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1609140185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3674 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895026015",
"telephone_number": "760-703-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895026015",
"telephone_number": "775-326-2995"
}
],
"practiceLocations": [
{
"address_1": "5901 E 7th St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908225201",
"country_code": "US",
"telephone_number": "760-703-4964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENEHAN",
"first_name": "KIERAN",
"middle_name": "JOJI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-01",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.