Individual provider Active NPI

Hans Michael Leonard, D.D.S.

  • Dentist
  • Des Moines, IA
National Provider Identifier
1124255799
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08642 Issued in IA
Practice address
1345 E University Ave
Suite #302
Des Moines, IA 50316-2461
Phone
(515) 264-9022
Fax
(515) 264-9011
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08642 IA Primary

Addresses

Primary practice location

1345 E University Ave
Suite #302
Des Moines, IA 50316-2461

Mailing address

1345 E University Ave
Suite #302
Des Moines, IA 50316-2461
Phone (515) 264-9022

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

State licenses

LicenseStateTypeSpecialty
08642IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Pediatric Dental Surgery, P.L.L.C. Current Accepting new patients
Jordan Creek Pediatric Dentistry Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1124255799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E UNIVERSITY AVE",
            "address_2": "SUITE #302",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162461",
            "telephone_number": "515-264-9022",
            "fax_number": "515-264-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E UNIVERSITY AVE",
            "address_2": "SUITE #302",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162461",
            "telephone_number": "515-264-9022",
            "fax_number": "515-264-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "HANS",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.