Robert Wayne Leedy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14086 Issued in TX

Practice address

5309 Buffalo Gap Rd
Abilene, TX 79606-4129

Phone

(325) 692-3344

Fax

(325) 692-3346

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clove Dental PLLC

  • General Practice Dentistry
  • Abilene, TX
  • NPI 1669263513
  NPD (past)
• Dental Health Associates of TX, P.C.

  • General Practice Dentistry
  • Abilene, TX
  • NPI 1669666798
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114147279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064129",
            "telephone_number": "325-692-3344",
            "fax_number": "325-692-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064129",
            "telephone_number": "325-692-3344",
            "fax_number": "325-692-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Lee
• Michael Anthony Lee, PA-C
• Seong Young Lee, MD
• Victor Lee, DMD, MS
• Christie McAdams Leedy, DDS
• Zoe Cheyenne Lefevre
• Desiree Alvarado Leija, PT, DPT
• Paige H Lemasters, M.D.
• Amanda Nicole Lemke, APRN
• Catherine R Lenhert, PHD, LMFT, LPC

• General Practice Dentistry in Abilene, TX
• Providers in Abilene, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.