Active NPI
Ronald Lawrence Lebus, D.D.S.
- Dentist
- Carmel, CA
National Provider Identifier
1801154778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18366
- Practice address
- SW Corner of Lincoln and 7TH Ave
10A
Carmel, CA 93921-5332 - Phone
- (831) 624-8361
- NPI assigned
- Apr 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18366 | CA | Primary |
Addresses
Primary practice location
SW Corner of Lincoln and 7TH Ave
10A
Carmel, CA 93921-5332
Mailing address
P.O. Box 5332
10A
Carmel, CA 93921-5332
Phone (831) 624-8361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18366 | Other | CA | DENTISTRY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1801154778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5332",
"address_2": "10A",
"city": "CARMEL",
"state": "CA",
"postal_code": "939215332",
"telephone_number": "831-624-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SW CORNER OF LINCOLN AND 7TH AVE",
"address_2": "10A",
"city": "CARMEL",
"state": "CA",
"postal_code": "939215332",
"telephone_number": "831-624-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBUS",
"first_name": "RONALD",
"middle_name": "LAWRENCE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "18366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTISTRY",
"identifier": "18366",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.