Individual provider Active NPI

Ann M Leibold, M.D.

  • Dermatology Physician
  • Greenwood Village, CO
National Provider Identifier
1093707739
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28618 Issued in CO
Practice address
7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146
Phone
(303) 758-1449
Fax
(303) 758-0233
NPI assigned
Aug 18, 2005
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28618 CO Primary

Addresses

Primary practice location

7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146

Mailing address

7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146
Phone (303) 758-1449

Other identifiers 1

IdentifierTypeStateIssuer
14424860MedicaidCO

Other names 1

  • Ann M Schlagenhaft Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28618COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Tech Dermatology Associates PC Dermatology PastSince Jan 4, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14355/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1093707739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112146",
            "telephone_number": "303-758-1449",
            "fax_number": "303-758-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112146",
            "telephone_number": "303-758-1449",
            "fax_number": "303-758-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOLD",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "28618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14424860",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "SCHLAGENHAFT",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.