Individual provider Active NPI

Leslee Rakowsky Dreisbach, DMD

  • Dentist
  • Allentown, PA
National Provider Identifier
1649281817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0273906 Issued in PA
Practice address
2250 Allen St
Allentown, PA 18104-4363
Phone
(610) 435-2610
Fax
(610) 435-7065
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS0273906 PA Primary

Addresses

Primary practice location

2250 Allen St
Allentown, PA 18104-4363

Mailing address

2250 Allen Street
Allentown, PA 18104-4363
Phone (610) 435-2610

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

LicenseStateTypeSpecialty
DS0273906PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649281817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 ALLEN STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044363",
            "telephone_number": "610-435-2610",
            "fax_number": "610-435-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ALLEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044363",
            "telephone_number": "610-435-2610",
            "fax_number": "610-435-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "LESLEE",
        "middle_name": "RAKOWSKY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS0273906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.