Active NPI
Elizabeth Shanley Lestini Hamby, D.D.S.
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1912344433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9524
- Practice address
- 2104 Smallwood Dr
Raleigh, NC 27605-1320 - Phone
- (919) 821-2454
- NPI assigned
- May 23, 2013
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9524 | NC | Primary |
Addresses
Primary practice location
2104 Smallwood Dr
Raleigh, NC 27605-1320
Mailing address
11209 Trescott CT
Raleigh, NC 27614-9352
Phone (919) 522-1207
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9524 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1912344433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 TRESCOTT CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149352",
"telephone_number": "919-522-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 SMALLWOOD DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051320",
"telephone_number": "919-821-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBY",
"first_name": "ELIZABETH",
"middle_name": "SHANLEY LESTINI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.