James Lelis, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

101931 Issued in CA

Practice address

445 March Ave Ste B
Healdsburg, CA 95448-3383

Phone

(707) 433-0231

NPI assigned

Apr 13, 2017

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Mar 19, 2024 through Mar 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jlelis135574@direct.llu.edu

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.

• Lelis Wandell Dental Partnership

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Ukiah, CA
  • NPI 1902650971
  NPD (past)
• Wandell Dental Corporation

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Ukiah, CA
  • NPI 1407601164
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1740714088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MARCH AVE STE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARCH AVE STE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483383",
            "telephone_number": "707-433-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELIS",
        "first_name": "JAMES",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "101931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis A Laland, PA-C
• Andrew Lane, DDS
• Robert S. Leach, D.D.S.
• Mindy Leake, PMHNP-BC
• Gary Lekander, MD
• Gigi M Leon, PA-C
• Julie Ann Leveque, FNP
• Christy Lynn Livingston, LMFT, RPT
• Judy Lock, FNP
• Longs Drug Stores California LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.