Individual provider Active NPI

Julian Charles Leichter, DMD

  • Periodontics
  • Boca Raton, FL
National Provider Identifier
1023301421
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7142 Issued in FL
Practice address
7000 W Camino Real Ste 120
Boca Raton, FL 33433-5532
Phone
(561) 391-1800
Fax
(561) 391-1801
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7142 FL Primary

Addresses

Primary practice location

7000 W Camino Real Ste 120
Boca Raton, FL 33433-5532

Mailing address

7000 W. Camino Real, Suite 120
Boca Raton, FL 33433
Phone (561) 391-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141211001502 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648592105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7142FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Julian C Leichter DMD PA Periodontics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1023301421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W. CAMINO REAL, SUITE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-391-1800",
            "fax_number": "561-391-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W CAMINO REAL STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335532",
            "telephone_number": "561-391-1800",
            "fax_number": "561-391-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTER",
        "first_name": "JULIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.