Lakeview Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8362 Issued in MN

Legal business name

LAKEVIEW DENTAL CLINIC

Practice address

603 Bemidji Ave N
Bemidji, MN 56601-3015

Phone

(218) 751-4523

Fax

(218) 751-0285

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Angie Faye Webb

Title

Receptionist

Phone

(218) 751-4523

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin J Johnson, D.D.S.

  • General Practice Dentistry
  • Bemidji, MN
  • NPI 1821161910
  NPD (past)
• Richard A Johnson, DDS

  • General Practice Dentistry
  • Bemidji, MN
  • NPI 1962575043
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1750610721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013015",
            "telephone_number": "218-751-4523",
            "fax_number": "218-751-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013015",
            "telephone_number": "218-751-4523",
            "fax_number": "218-751-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "218-751-4523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8362",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962575043",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821161910",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene G La Frenz, NP
• Anna Labitzky, PHARMD
• Burton George Lade, R.PH.
• Lake Region Bone & Joint Surgeons
• Lakes Region Chemical Dependency LLC
• Lakeview Health and Wellness PLLC
• Mary H. Landes, C.R.N.A.
• Kirsten Landmark, MS
• Lacey Ann Langerak, PAC
• Paul J Lappinga, MD

• General Practice Dentistry in Bemidji, MN
• Providers in Bemidji, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.