Individual provider Active NPI

Lejla Streets, DMD

  • Dentist
  • Pinehurst, NC
National Provider Identifier
1912423377
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11571 Issued in NC
Practice address
7 Villiage Club CT Ste 200
Pinehurst, NC 28374-8554
Phone
(910) 240-2922
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11571 NC
General Practice Dentistry 1223G0001X 33300 TX
Dentist 122300000X 11571 NC Primary

Addresses

Primary practice location

7 Villiage Club CT Ste 200
Pinehurst, NC 28374-8554

Mailing address

7 Villiage Club CT Ste 200
Pinehurst, NC 28374-8554
Phone (910) 240-2922

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drstreets@smilesinthepinesdental.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240416001049 NC Practitioner - Dentist 6103202619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33300TXMDGeneral Practice Dentistry
11571NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1912423377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VILLIAGE CLUB CT STE 200",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748554",
            "telephone_number": "910-240-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VILLIAGE CLUB CT STE 200",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748554",
            "telephone_number": "910-240-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETS",
        "first_name": "LEJLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11571",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstreets@smilesinthepinesdental.com",
            "affiliation": "N",
            "address_1": "7 Villiage Club Ct Ste 200",
            "city": "Pinehurst",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283748554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.