Lisa Jedacek, DMD, MPH
Lisa Jedacek, DMD, MPH is a provider specialising in Dental Anesthesiology in Bronx, NY, registered under NPI 1528650710. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1400 PELHAM PKWY S, Bronx, NY 10461. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0401418721 | VA | Dental Anesthesiology primary |
| 22DI03015700 | NJ | Dentist |
| 0401418721 | VA | Dentist |
| DN10000315 | MA | Dental Anesthesiology |
| 2901602093 | MI | Dental Anesthesiology |
| DN10000315 | MA | Dentist |
| 2901602093 | MI | Dentist |
| 30.027607 | OH | Dentist |
| 30.027607 | OH | Dental Anesthesiology |
Licences are recorded in 5 states: VA, NJ, MA, MI, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 5 states
This provider holds licences in 5 states: Massachusetts, Michigan, New Jersey, Ohio and Virginia. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Dental Anesthesiology covers
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. NUCC Health Care Provider Taxonomy, code 1223D0004X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223D0004X | Dental Anesthesiology Dental Anesthesiology | 0401418721 | VA | primary |
| 122300000X | Dentist | 22DI03015700 | NJ | |
| 122300000X | Dentist | 0401418721 | VA | |
| 1223D0004X | Dental Anesthesiology Dental Anesthesiology | DN10000315 | MA | |
| 1223D0004X | Dental Anesthesiology Dental Anesthesiology | 2901602093 | MI | |
| 122300000X | Dentist | DN10000315 | MA | |
| 122300000X | Dentist | 2901602093 | MI | |
| 122300000X | Dentist | 30.027607 | OH | |
| 1223D0004X | Dental Anesthesiology Dental Anesthesiology | 30.027607 | OH |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1528650710 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 9, 2021 |
| Last updated | Jul 9, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | DMD, MPH |
| Practice address |
1400 PELHAM PKWY S Bronx, NY 10461 (718) 918-5000 |
| Mailing address |
1817 MAYFLOWER AVE Bronx, NY 10461 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 6 | 5 | 0 | 7 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 3 | 5 | 0 | 7 | 2 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.