Kylee Dawn Lessar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011418 Issued in AZ

Practice address

781 S Cotton LN Ste 100
Goodyear, AZ 85338-4644

Phone

(623) 882-3636

NPI assigned

Jun 10, 2022

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Goodyear Smiles, LLP

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1629220579
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1902536261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384644",
            "telephone_number": "623-882-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384644",
            "telephone_number": "623-882-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSAR",
        "first_name": "KYLEE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenora Anderson Speech Pathology Services, Inc.
• Sean Leon, PHARM.D
• Shannon Leonard, PHMNP
• Sook Jinn Leow, RDN
• Angelie Vo Lequang, DPT
• Jaleaa Lewis
• Kim Lewis, CCP
• Walter J Lewis, M.D.
• Michelle L Liacone
• Feng Liao, MD

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.

Verify at the official NPI Registry.