Active NPI
Leeanne Block, B.S.
- Dental Hygienist
- Moberly, MO
National Provider Identifier
1073785002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 003614
- Practice address
- 423 E Logan St
Moberly, MO 65270-2222 - Phone
- (660) 263-6643
- NPI assigned
- Mar 31, 2008
- Last updated
- Mar 31, 2008
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 003614 | MO | Primary |
Addresses
Primary practice location
423 E Logan St
Moberly, MO 65270-2222
Mailing address
423 East Logan
Moberly, MO 65270
Phone (660) 263-6643
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003614 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1073785002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 EAST LOGAN",
"city": "MOBERLY",
"state": "MO",
"postal_code": "65270",
"telephone_number": "660-263-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 E LOGAN ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702222",
"telephone_number": "660-263-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "LEEANNE",
"name_prefix": "Mrs.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "003614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.