Active NPI
Elena Michael Lebasie, D.D.S
- Dentist
- Cincinnati, OH
National Provider Identifier
1811319650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.023935
- Practice address
- 1401 Steffen Ave
Cincinnati, OH 45215-2338 - Phone
- (513) 483-3088
- Fax
- (513) 554-0136
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 30.023935 | OH | Primary |
Addresses
Primary practice location
1401 Steffen Ave
Cincinnati, OH 45215-2338
Mailing address
1401 Steffen Ave
Cincinnati, OH 45215-2338
Phone (513) 483-3088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-023935 | Other | OH | OH DDS LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023935 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1811319650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 STEFFEN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452152338",
"telephone_number": "513-483-3088",
"fax_number": "513-554-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 STEFFEN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452152338",
"telephone_number": "513-483-3088",
"fax_number": "513-554-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBASIE",
"first_name": "ELENA",
"middle_name": "MICHAEL",
"name_prefix": "Miss",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.023935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH DDS LICENSE",
"identifier": "30-023935",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.