Samuel Reid Lester, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3494-09 Issued in MS

Practice address

102 Carrollton Ave
Lexington, MS 39095-3250

Phone

(662) 834-9899

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Enrolled in MS

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2009.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1669607016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CARROLLTON AVE",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953250",
            "telephone_number": "662-834-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CARROLLTON AVE",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953250",
            "telephone_number": "662-834-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "SAMUEL",
        "middle_name": "REID",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3494-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Ivey
• Jackson Metro Dental LLC
• Jitney Pharmacies Incorporated
• John D. Whitehead
• Amy Chapman Johnson, FNP-BC
• Lexington Dental, PLLC
• Lexington Discount Pharmacy
• Lexington Manor Nursing Center LLC
• Lexington Manor Senior Care LLC
• Lexington Primary Care

• All providers in Lexington, MS
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.