Alexis Road Family Dental, Amber R. Leer DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC

Practice address

4640 W Alexis Rd Ste 200
Toledo, OH 43623-1182

Phone

(419) 471-1208

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Tabatha Pierce

Title

Office Manager

Phone

(419) 471-1208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alexis Road Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Billings Tayloe, DDS

  • Dentist
  • Whitehouse, OH
  • NPI 1346867132
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1083223192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-471-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-471-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-471-1208"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIP",
            "identifier": "1346867132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexis Road Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Sidney Alexander
• Kurtis Alexander
• Somica Alexander
• Tiffany Alexander, QMHS
• Tina Alexander
• Sarah Alfaham
• Abdullah Abdulaziz Alfaqih
• Nasreen Faris Alfaris, M.D., M.P.H
• Maria A Alfonso-Jaume, MD
• Lashanna Alfred, MSW, LISW

• Dental Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.