Active NPI
Leah Spiegel, DDS
- Dentist
- Far Rockaway, NY
National Provider Identifier
1043506769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 055464-1
- Practice address
- 5115 Beach Channel Dr
Far Rockaway, NY 11691-1042 - Phone
- (718) 734-2770
- NPI assigned
- Jun 21, 2011
- Last updated
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 055464-1 | NY | Primary |
Addresses
Primary practice location
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Mailing address
2611 Avenue S
Brooklyn, NY 11229-2538
Phone (718) 614-3228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055464-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1043506769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 AVENUE S",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292538",
"telephone_number": "718-614-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911042",
"telephone_number": "718-734-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIEGEL",
"first_name": "LEAH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055464-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.