Active NPI
Robert Edward Lens, D.D.S.
- Dentist
- Port St Lucie, FL
National Provider Identifier
1699082123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 11838
- Practice address
- 1850 SW Fountainview Blvd
Suite 101
Port St Lucie, FL 34986-3443 - Phone
- (772) 336-9388
- NPI assigned
- Sep 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 11838 | FL | Primary |
Addresses
Primary practice location
1850 SW Fountainview Blvd
Suite 101
Port St Lucie, FL 34986-3443
Mailing address
1850 SW Fountainview Blvd
Suite 101
Port St Lucie, FL 34986-3443
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 11838 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1699082123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SW FOUNTAINVIEW BLVD",
"address_2": "SUITE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SW FOUNTAINVIEW BLVD",
"address_2": "SUITE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863443",
"telephone_number": "772-336-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENS",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 11838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.