Individual provider Active NPI

Natalie A. Lenser, DDS

  • Pediatric Dentistry
  • Modesto, CA
National Provider Identifier
1669563607
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
44333 Issued in CA
Practice address
3109 Coffee Rd Ste B
Modesto, CA 95355-1733
Phone
(209) 571-7283
Fax
(209) 571-7285
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 44333 CA Primary

Addresses

Primary practice location

3109 Coffee Rd Ste B
Modesto, CA 95355-1733

Mailing address

3109 Coffee Rd Ste B
Modesto, CA 95355-1733
Phone (209) 571-7283

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
44333CAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1669563607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 COFFEE RD STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551733",
            "telephone_number": "209-571-7283",
            "fax_number": "209-571-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 COFFEE RD STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551733",
            "telephone_number": "209-571-7283",
            "fax_number": "209-571-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSER",
        "first_name": "NATALIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.