Anastasia Lester, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103490 Issued in CA

Practice address

401 Kenilworth Dr Ste 960
Petaluma, CA 94952-3406

Phone

(707) 789-9600

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anastasia Pogadajeva Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nosti and Gill Dental Corporatiom

  • General Practice Dentistry
  • Petaluma, CA
  • NPI 1205262664
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1659835643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KENILWORTH DR STE 960",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523406",
            "telephone_number": "707-789-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KENILWORTH DR STE 960",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523406",
            "telephone_number": "707-789-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "ANASTASIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "POGADAJEVA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Lerch, MFT
• Lerian Dental Corporation
• Katherine Brydges Leroy, LMFT
• Richard Steven Lesch, PHD
• Lester Dental Corporation
• Amanda Leung
• Kyle Lew
• Darryl L. Lewis
• Ebony Lewis, ASSOCIATES
• Carol Li

• General Practice Dentistry in Petaluma, CA
• Providers in Petaluma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.