Jon Douglas Lesan DDS RPH PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JON DOUGLAS LESAN DDS RPH PA

Practice address

123 Cobia CT
Jacksonville, NC 28546-6862

Phone

(910) 347-1211

Fax

(910) 347-0765

NPI assigned

Dec 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Douglas Lesan, DDS RPH PANPI 1144398348

Title

Owner Dentist

Phone

(910) 347-1211

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Douglas Lesan, DDS RPH PA

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1144398348
  Authorized official Same address or phone
• Charity J.E. Vanderwall-Lacey, DMD

  • Dentist
  • Jacksonville, NC
  • NPI 1679923080
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952479156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 COBIA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466862",
            "telephone_number": "910-347-1211",
            "fax_number": "910-347-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COBIA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466862",
            "telephone_number": "910-347-1211",
            "fax_number": "910-347-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON DOUGLAS LESAN DDS RPH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "LESAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "910-347-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS RPH PA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson's Home Care LLC (Happier at Home)
• Johnston Pain Management PA
• Carol Ann Johnston, MD
• Heather Martina Johnston
• Scott Richard Johnston, M.D.
• Alaina Jones
• Angelia Jones, MA, LCMHCS, LCAS
• Brenda Lee Jones, LMBT
• Brigitte A Jones
• Camille Marie Jones, M.A., LPA, LBA BCBA

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.