Organization Active NPI

Michael a. Lemme DDS, PLLC

  • General Practice Dentistry
  • Oak Harbor, WA
National Provider Identifier
1659563781
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00011040 Issued in WA
Legal business name
MICHAEL A. LEMME DDS, PLLC
Practice address
1290 E Whidbey Ave
Oak Harbor, WA 98277-4935
Phone
(360) 675-3334
Fax
(360) 675-2464
NPI assigned
Aug 13, 2007
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Michael Adam Lemme, DDSNPI 1851639538
Title
Member
Phone
(360) 675-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00011040 WA Primary

Addresses

Primary practice location

1290 E Whidbey Ave
Oak Harbor, WA 98277-4935

Mailing address

1290 E Whidbey Ave
Oak Harbor, WA 98277-4935
Phone (360) 675-3334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926003376 WA DME Supplier - Oral Surgery - Dentist 4486928603 Practice locations: Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

1290 E Whidbey Ave
Oak Harbor, WA 98277
Phone (360) 675-3334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1659563781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774935",
            "telephone_number": "360-675-3334",
            "fax_number": "360-675-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774935",
            "telephone_number": "360-675-3334",
            "fax_number": "360-675-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. LEMME DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "LEMME",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-675-3334",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.