Leon Albert Flettrich IV, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6743 Issued in LA

Practice address

729 N Carrollton Ave
New Orleans, LA 70119-4708

Phone

(504) 483-0955

Fax

(504) 488-1847

NPI assigned

May 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Leon Flettrich IV, LLC

  • General Practice Dentistry
  • New Orleans, LA
  • NPI 1548775703
  NPD Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073040002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194708",
            "telephone_number": "504-483-0955",
            "fax_number": "504-488-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194708",
            "telephone_number": "504-483-0955",
            "fax_number": "504-488-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETTRICH",
        "first_name": "LEON",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Fletcher
• Winnie L Fletcher
• Clark Caffery Fletchinger, MD
• Alejandro Fletes
• Lauren Alexis Flettrich, DNP, APRN, CPNP-PC
• Fleur D' Feaux Transport LLC
• Fleur de Lis
• Fleur de Lis Dental Care
• Fleur de Lis Physical Therapy, LLC
• Fleur Des Maisons

• Dentist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.