Individual provider Active NPI

Alexia E Lenney, DDS

  • Dentist
  • Carmichael, CA
National Provider Identifier
1639793284
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106326 Issued in CA
Practice address
6600 Madison Ave Ste 4B
Carmichael, CA 95608-0645
Phone
(916) 944-1197
NPI assigned
May 29, 2020
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106326 CA Primary

Addresses

Primary practice location

6600 Madison Ave Ste 4B
Carmichael, CA 95608-0645

Mailing address

15060 Grand Knoll Dr
Meadow Vista, CA 95722-9375
Phone (916) 710-1556

Other practice location 1

15 Sierra Gate Plz
Roseville, CA 95678-6602
Phone (916) 786-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230322002385 CA Order and Referring Only - DentistPractitioner - Dentist 8527432137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106326CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Vongschanphen, DDS PastSince Oct 20, 2024 Accepting new patients
Arena Gade Wilkes Milla McClure Dental Corporation Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alenney769781@direct.ochin.org
  • Direct secure messaging: alexia.lenney.p1@direct.wellspacehealth.nextgenshare.com

Organizations & group practices 2

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1639793284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 GRAND KNOLL DR",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957229375",
            "telephone_number": "916-710-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 4B",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-944-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Sierra Gate Plz",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956786602",
            "country_code": "US",
            "telephone_number": "916-786-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNEY",
        "first_name": "ALEXIA",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.