Active NPI
Leslie Zide, DMD
- Dentist
- Springfield, MA
National Provider Identifier
1154306934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14059
- Practice address
- 1049 Main St
Caring Health Center, Inc
Springfield, MA 01103-2114 - Phone
- (413) 739-1100
- Fax
- (413) 304-4670
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14059 | MA | Primary |
Addresses
Primary practice location
1049 Main St
Caring Health Center, Inc
Springfield, MA 01103-2114
Mailing address
484 Inverness LN
Longmeadow, MA 01106-2826
Phone (413) 567-0760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028120 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106001196 | MA | Order and Referring Only - Dentist | 4688976756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14059 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1154306934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 INVERNESS LN",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062826",
"telephone_number": "413-567-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"address_2": "CARING HEALTH CENTER, INC",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100",
"fax_number": "413-304-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDE",
"first_name": "LESLIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028120",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.