Vanessa E Lebron, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN21713 Issued in FL

Practice address

5361 NW 22ND Ave
Miami, FL 33142-8035

Phone

(305) 637-6400

Fax

(305) 636-5155

NPI assigned

Feb 22, 2016

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1689605362
  Medicare reassignment NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Gardens, FL
  • NPI 1639518798
  NPD
• Jessie Trice Community Health System, Inc

  dba Main Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1043892979
  NPD
• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1831352624
  NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1467614099
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1619336369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428035",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "VANESSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018762300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Maria Lebredo
• Yaneysi Lebron Dominguez
• Michelle Marie Lebron Ginorio, M.D
• Diana Lebron, MD
• Silvia Lebron, B.S.
• Danac Lebrun
• Nathan H Lebwohl, MD
• Tamara Lechosa Cazana
• Lisandra Lechuga Gonzalez
• Susy Lechuga Rodriguez

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.