Individual provider Active NPI

Richard B Lestage, DDS

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1801969514
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7938 Issued in NC
Practice address
99 Edgewood Rd
Suite E
Asheville, NC 28804-3575
Phone
(828) 505-3410
Fax
(828) 505-3405
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7938 NC Primary
General Practice Dentistry 1223G0001X 006698 VA
General Practice Dentistry 1223G0001X DN8459 FL
General Practice Dentistry 1223G0001X 3302 LA
General Practice Dentistry 1223G0001X DS4098 TN

Addresses

Primary practice location

99 Edgewood Rd
Suite E
Asheville, NC 28804-3575

Mailing address

99 Edgewood Rd
Suite E
Asheville, NC 28804-3575
Phone (828) 505-3410

Other identifiers 2

IdentifierTypeStateIssuer
9029XOtherBLUE CROSS BLUE SHIELD NC
5905316MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112000007 NC Order and Referring Only - DentistPractitioner - Dentist 7517248289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN8459FLMDGeneral Practice Dentistry
DS4098TNMDGeneral Practice Dentistry
006698VAMDGeneral Practice Dentistry
7938NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B. Lestage, DDS, PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1801969514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EDGEWOOD RD",
            "address_2": "SUITE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043575",
            "telephone_number": "828-505-3410",
            "fax_number": "828-505-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EDGEWOOD RD",
            "address_2": "SUITE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043575",
            "telephone_number": "828-505-3410",
            "fax_number": "828-505-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTAGE",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7938",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "006698",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8459",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3302",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "9029X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905316",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.