Active NPI
Lena Marie Levesque, DMD
- Dentist
- Front Royal, VA
National Provider Identifier
1821576513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416252
- Practice address
- 1516 N Shenandoah Ave
Front Royal, VA 22630-3648 - Phone
- (540) 636-2003
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- 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 | 0401416252 | VA | Primary |
Addresses
Primary practice location
1516 N Shenandoah Ave
Front Royal, VA 22630-3648
Mailing address
778 Springsbury Rd
Berryville, VA 22611-1513
Phone (703) 342-9628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20211119000221 | WV | Order and Referring Only - Dentist | 3870982499 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416252 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1821576513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 SPRINGSBURY RD",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226111513",
"telephone_number": "703-342-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 N SHENANDOAH AVE",
"city": "FRONT ROYAL",
"state": "VA",
"postal_code": "226303648",
"telephone_number": "540-636-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVESQUE",
"first_name": "LENA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Front Royal, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.