Individual provider Active NPI

Natalya Lesnikovskaya, D.D.S.

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1760517189
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37950 Issued in TX
Practice address
1515 N Town East Blvd
Mesquite, TX 75150-4157
Phone
(972) 686-1955
Fax
(972) 686-0926
NPI assigned
Feb 23, 2007
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54853 CA
General Practice Dentistry 1223G0001X 37950 TX Primary

Addresses

Primary practice location

1515 N Town East Blvd
Mesquite, TX 75150-4157

Mailing address

1515 N Town East Blvd
Mesquite, TX 75150-4157
Phone (972) 686-1955

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37950TXMDGeneral Practice Dentistry
54853CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P. Gusilatar DDS Apc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1760517189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504157",
            "telephone_number": "972-686-1955",
            "fax_number": "972-686-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504157",
            "telephone_number": "972-686-1955",
            "fax_number": "972-686-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIKOVSKAYA",
        "first_name": "NATALYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54853",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.