Individual provider Active NPI

Stacy L Lesley, DDS

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1750400016
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC7568 Issued in NC
Practice address
10030 Edison Square Dr NW Ste 200
Concord, NC 28027-8309
Phone
(704) 766-1488
Fax
(704) 766-1496
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC7568 NC Primary

Addresses

Primary practice location

10030 Edison Square Dr NW Ste 200
Concord, NC 28027-8309

Mailing address

10030 Edison Square Dr NW Ste 200
Concord, NC 28027-8309
Phone (704) 766-1488

Other practice location 1

290 Robins Way, SW
Suite 200
Concord, NC 28027
Phone (704) 307-8344

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
NC7568NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unjiya DDS PLLC General Practice CurrentSince Dec 21, 2025 Accepting new patients
Dennis R Lockney, DDS General Practice Past Accepting new patients
Tyler M.M. Lockney DDS PLLC PastSince Dec 18, 2022 Accepting new patients

Locations

10030 Edison Square Dr NW
Ste 200
Concord, NC 28027
Phone (704) 766-1488

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1750400016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278309",
            "telephone_number": "704-766-1488",
            "fax_number": "704-766-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278309",
            "telephone_number": "704-766-1488",
            "fax_number": "704-766-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Robins Way, SW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "28027",
            "country_code": "US",
            "telephone_number": "704-307-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLEY",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC7568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.