Individual provider Active NPI

Cynthia D Lehnertz, DMD

  • Dentist
  • Vancouver, WA
National Provider Identifier
1790090298
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60171335 Issued in WA
Practice address
8700 NE Vancouver Mall Dr
Suite 202a
Vancouver, WA 98662-6750
Phone
(360) 254-8880
Fax
(360) 254-8385
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60171335 WA Primary

Addresses

Primary practice location

8700 NE Vancouver Mall Dr
Suite 202a
Vancouver, WA 98662-6750

Mailing address

8700 NE Vancouver Mall Dr
Suite 202a
Vancouver, WA 98662-6750
Phone (360) 254-8880

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
DE60171335WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1790090298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 NE VANCOUVER MALL DR",
            "address_2": "SUITE 202A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626750",
            "telephone_number": "360-254-8880",
            "fax_number": "360-254-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 NE VANCOUVER MALL DR",
            "address_2": "SUITE 202A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626750",
            "telephone_number": "360-254-8880",
            "fax_number": "360-254-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHNERTZ",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60171335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.