Individual provider Active NPI

William Edward Leboe, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1003875881
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5657 Issued in MD
Practice address
5 E Henrietta St
Baltimore, MD 21230-3910
Phone
(410) 659-0616
Fax
(410) 539-1433
NPI assigned
Mar 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5657 MD Primary

Addresses

Primary practice location

5 E Henrietta St
Baltimore, MD 21230-3910

Mailing address

5 E Henrietta St
Baltimore, MD 21230-3910
Phone (410) 659-0616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150629002860 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608188917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5657MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William E. Leboe DDS PA General Practice CurrentSince Jan 1, 2019 Accepting new patients

Locations

5 E Henrietta St
Baltimore, MD 21230
Phone (410) 659-0616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003875881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E HENRIETTA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303910",
            "telephone_number": "410-659-0616",
            "fax_number": "410-539-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E HENRIETTA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303910",
            "telephone_number": "410-659-0616",
            "fax_number": "410-539-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOE",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.