Bret Lesavoy

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS042610 Issued in PA

Practice address

1352 South St # C4
Philadelphia, PA 19147-1858

Phone

(267) 909-9551

NPI assigned

Feb 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 and National Provider Directory roles.

• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Star Community Health, Inc

  • General Practice Physician
  • Bethlehem, PA
  • NPI 1033686159
  Medicare reassignment NPD
• Lesavoy Pediatric Dentistry LLC

  • Dental Clinic/Center
  • Allentown, PA
  • NPI 1205524998
  NPD Authorized official
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke'S Physician Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bethlehem, PA
  • NPI 1164860391
  NPD
• Star Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
  • NPI 1942832720
  NPD
• Verber Dental Group, PC

  • Dental Clinic/Center
  • Camp Hill, PA
  • NPI 1336215862
  NPD (past)

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1649736430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 STURBRIDGE PL",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041776",
            "telephone_number": "484-695-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 SOUTH ST # C4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471858",
            "telephone_number": "267-909-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Geiger Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191151008",
            "country_code": "US",
            "telephone_number": "215-677-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 W Ormond Ave",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080023041",
            "country_code": "US",
            "telephone_number": "856-288-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESAVOY",
        "first_name": "BRET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-16",
        "last_updated": "2021-07-01",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yevgeny Lerner, M.D.
• Anastasiia Leroi, MD
• Eleanor M Leroux, CRNA
• Bart P Leroy, MD
• Matthew Leroy, PSY.D.
• Nicolas Ariel Lescano, MD
• Cara Lescott, MD
• Lisa Lesesne, MHS
• Michael Lesgart, MD
• Jamie Marie Lesher, DNP, FNP-BC, BSN, RN

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.