Lisa Ann Elenberger, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

37543 Issued in CA

Practice address

1791 Oak Ave
Suite C
Davis, CA 95616-1073

Phone

(530) 756-7516

Fax

(530) 756-0727

NPI assigned

Apr 2, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  • Pediatric Dentistry
  • Davis, CA
  • NPI 1396123683
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1699031898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 WILLIAMS ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309558",
            "telephone_number": "916-608-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 OAK AVE",
            "address_2": "SUITE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161073",
            "telephone_number": "530-756-7516",
            "fax_number": "530-756-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELENBERGER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "37543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Eichstadt, PHARMD
• Wetona Suzanne Eidson-Ton, M.D.
• Carl J Eilers, MD
• Paula P Eisenberg, M.S.
• Jonathan Elder
• Elisa E Horta, MD,MPH, a Professional Medical Corporation
• Thomas E Elliott, M.D.
• Ashli Ellis, PSY.D.
• Keenan Ellis
• Florence Elmore, PSY.D.

• Pediatric Dentistry in Davis, CA
• Providers in Davis, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.