Individual provider Active NPI

Paul Daniel Leveille, DDS, MS

  • Endodontics
  • Gainesville, FL
National Provider Identifier
1073126322
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN00204465 Issued in CO
Practice address
1395 Center Dr RM D1-17
Gainesville, FL 32610-3504
Phone
(352) 273-5440
Fax
(352) 273-5446
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DRPM2440 FL
General Practice Dentistry 1223G0001X DEN.00204465 CO
Endodontics 1223E0200X DEN00204465 CO Primary

Addresses

Primary practice location

1395 Center Dr RM D1-17
Gainesville, FL 32610-3504

Mailing address

1537 Utica St
Denver, CO 80204-1237
Phone (810) 300-1608

Other practice location 1

6632 W 10th St Ste 101
Greeley, CO 80634-9734
Phone (970) 353-4848

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DEN00204465COMDEndodontist
DRPM2440FLMDEndodontist
DEN.00204465COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greeley Modern Dentistry, LLP General Practice PastSince Aug 1, 2020 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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1073126322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 UTICA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041237",
            "telephone_number": "810-300-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D1-17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103504",
            "telephone_number": "352-273-5440",
            "fax_number": "352-273-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6632 W 10th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806349734",
            "country_code": "US",
            "telephone_number": "970-353-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVEILLE",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DRPM2440",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204465",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN00204465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.