Individual provider Active NPI

Leila Jenab, DMD

  • Dentist
  • Lexington, KY
National Provider Identifier
1144962846
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10741 Issued in KY
Practice address
1081 Dove Run Rd Ste 105
Lexington, KY 40502-3500
Phone
(859) 269-4613
NPI assigned
Apr 12, 2022
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10741 KY Primary

Addresses

Primary practice location

1081 Dove Run Rd Ste 105
Lexington, KY 40502-3500

Mailing address

1081 Dove Run Rd Ste 105
Lexington, KY 40502-3500
Phone (859) 269-4613

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
10741KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
H David O'Donnell DMD PSC Dentist CurrentSince Jun 23, 2024 Accepting new patients

Locations

1081 Dove Run Rd
Ste 105
Lexington, KY 40502
Phone (859) 269-4613

Organizations & group practices 1

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1144962846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 DOVE RUN RD STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023500",
            "telephone_number": "859-269-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 DOVE RUN RD STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023500",
            "telephone_number": "859-269-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENAB",
        "first_name": "LEILA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.