Organization Active NPI

Creekside Family Dental

Doing business as William W Leffler DDS

  • General Practice Dentistry
  • Gahanna, OH
National Provider Identifier
1023481736
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023480 Issued in OH
Legal business name
CREEKSIDE FAMILY DENTAL
Doing business as
William W Leffler DDS
Practice address
111 W Johnstown Rd
Suite a
Gahanna, OH 43230-3515
Phone
(614) 471-5090
Fax
(614) 471-5277
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. William Warren Leffler, DDS
Title
Dentist
Phone
(614) 471-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-023480 OH Primary

Addresses

Primary practice location

111 W Johnstown Rd
Suite a
Gahanna, OH 43230-3515

Mailing address

111 W Johnstown Rd
Suite a
Gahanna, OH 43230-3515
Phone (614) 471-5090

Other names 1

  • William W Leffler DDS Doing business as

National Provider Directory

National Provider Directory

Locations

111 W Johnstown Rd
Ste A
Gahanna, OH 43230
Phone (614) 471-5090

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1023481736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JOHNSTOWN RD",
            "address_2": "SUITE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303515",
            "telephone_number": "614-471-5090",
            "fax_number": "614-471-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JOHNSTOWN RD",
            "address_2": "SUITE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303515",
            "telephone_number": "614-471-5090",
            "fax_number": "614-471-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "LEFFLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-471-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William W Leffler DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.