Active NPI
Leonard Edward McGaha, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Anderson, SC
National Provider Identifier
1174666283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 1337
- Practice address
- 1514 N Fant St
Anderson, SC 29621-4708 - Phone
- (864) 226-8559
- Fax
- (864) 226-8853
- NPI assigned
- Feb 15, 2007
- Last updated
- Jan 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 1337 | SC | Primary |
Addresses
Primary practice location
1514 N Fant St
Anderson, SC 29621-4708
Mailing address
1514 N Fant St
Anderson, SC 29621-4708
Phone (864) 226-8559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9593 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1337 | SC | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxillofacial Surgery of Anderson,LLC | Past | Accepting new patients |
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Anderson, SC
- NPI 1568538098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1174666283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214708",
"telephone_number": "864-226-8559",
"fax_number": "864-226-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214708",
"telephone_number": "864-226-8559",
"fax_number": "864-226-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAHA",
"first_name": "LEONARD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "SC",
"license": "1337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9593",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.