Active NPI
Richard B Lestage, DDS
- General Practice Dentistry
- Asheville, NC
National Provider Identifier
1801969514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7938
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9029X | Other | BLUE CROSS BLUE SHIELD NC | |
| 5905316 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170112000007 | NC | Order and Referring Only - Dentist | 7517248289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8459 | FL | MD | General Practice Dentistry |
| DS4098 | TN | MD | General Practice Dentistry |
| 006698 | VA | MD | General Practice Dentistry |
| 7938 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Asheville, NC
- NPI 1316105398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.