Active NPI
Danielle Renee Leblanc, DDS
- General Practice Dentistry
- Rogers, AR
National Provider Identifier
1073713871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14117
- Practice address
- 6111 W Noble St
Rogers, AR 72758-1412 - Phone
- (479) 295-0947
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D14117 | MN | Primary |
Addresses
Primary practice location
6111 W Noble St
Rogers, AR 72758-1412
Mailing address
1805 Quarry Ridge PL NW Apt 316
Rochester, MN 55901-0879
Phone (479) 685-5585
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14117 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1073713871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 QUARRY RIDGE PL NW APT 316",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010879",
"telephone_number": "479-685-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 W NOBLE ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581412",
"telephone_number": "479-295-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "DANIELLE",
"middle_name": "RENEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.