Active NPI
Deborah Leiner, M.D.
- Pediatrics Physician
- Greensboro, NC
National Provider Identifier
1144338500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23211
- Practice address
- 719 Green Valley Road
Suite 219
Greensboro, NC 27408 - Phone
- (336) 272-9447
- Fax
- (336) 272-2112
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23211 | NC | Primary |
Addresses
Primary practice location
719 Green Valley Road
Suite 219
Greensboro, NC 27408
Mailing address
719 Green Valley Road
Suite 219
Greensboro, NC 27408
Phone (336) 272-9447
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51667 | Other | NC | BCBS NC |
| 71449 | Other | NC | MEDCOST |
| 8951667 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23211 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430006400000",
"number": "1144338500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 GREEN VALLEY ROAD",
"address_2": "SUITE 219",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27408",
"telephone_number": "336-272-9447",
"fax_number": "336-272-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 GREEN VALLEY ROAD",
"address_2": "SUITE 219",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27408",
"telephone_number": "336-272-9447",
"fax_number": "336-272-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINER",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2015-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "23211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "51667",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "71449",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951667",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.