Individual provider Active NPI

Lee Amy Weisbard, D.D.S.

  • Dentist
  • Englewood, CO
National Provider Identifier
1659591089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105744 Issued in CO
Practice address
7901 E Belleview Ave Ste 280
Englewood, CO 80111-6059
Phone
(303) 773-3373
Fax
(303) 773-3380
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 105744 CO Primary

Addresses

Primary practice location

7901 E Belleview Ave Ste 280
Englewood, CO 80111-6059

Mailing address

7901 E Belleview Ave Suite 280
Englewood, CO 80111
Phone (303) 773-3373

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
105744COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659591089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E BELLEVIEW AVE SUITE 280",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "303-773-3373",
            "fax_number": "303-773-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 E BELLEVIEW AVE STE 280",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116059",
            "telephone_number": "303-773-3373",
            "fax_number": "303-773-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBARD",
        "first_name": "LEE",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "105744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

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.