NPIMap

Organization Active NPI

Lee R. Bittenbender, M. D., P. a.

  • Dermatology Physician
  • Lawrence, KS
National Provider Identifier
1770678997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15200 Issued in KS
Legal business name
LEE R. BITTENBENDER, M. D., P. A.
Doing business as
DERMATOLOGY CENTER OF LAWRENCE
Practice address
930 Iowa St
Lawrence, KS 66044-1835
Phone
(785) 842-7001
Fax
(785) 842-5847
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee R Bittenbender, M. D.
Title
President
Phone
(785) 842-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 15200 KS Primary

Addresses

Primary practice location

930 Iowa St
Lawrence, KS 66044-1835

Mailing address

930 Iowa St
Lawrence, KS 66044-1835
Phone (785) 842-7001

Other identifiers 1

IdentifierTypeStateIssuer
006529OtherKSBLUECROSS BLUESHIELD

Other names 1

  • DERMATOLOGY CENTER OF LAWRENCE Doing business as

National Provider Directory

National Provider Directory

Locations

930 Iowa St
Lawrence, KS 66044
Phone (785) 842-1242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770678997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441835",
            "telephone_number": "785-842-7001",
            "fax_number": "785-842-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441835",
            "telephone_number": "785-842-7001",
            "fax_number": "785-842-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE R. BITTENBENDER, M. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BITTENBENDER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-842-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KS",
            "license": "15200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "006529",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERMATOLOGY CENTER OF LAWRENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.