Angela C Lebessis, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019-025136 Issued in IL

Practice address

1400 W 47TH St Ste 8
La Grange, IL 60525-6148

Phone

(708) 579-1522

Fax

(708) 579-1523

NPI assigned

Jan 13, 2007

Last updated

Oct 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 22, 2017 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angela Lebessis DDS PLLC

  • Dental Clinic/Center
  • La Grange, IL
  • NPI 1093594905
  NPD Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1841341344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST STE 8",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256148",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST STE 8",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256148",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBESSIS",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mae Larson, APRN
• Oswaldo Lastres, M.D
• Laura B. Kaehler, LCSW, LLC (Laura B. Kaehler, LCSW)
• James Lavin, LCSW
• Jane Elizabeth Layden
• Diane C Lee, B.S.
• Patricia Lee, M.D.
• Scott Kwan Lee, M.D.
• Alexandria Marie Leonardo, M.S. CCC-SLP/L
• Freda Marie Lesh, DPT

• Dentist in La Grange, IL
• Providers in La Grange, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.