Individual provider Active NPI

Leon Tombacher, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1174702690
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
027789-1 Issued in NY
Practice address
145 E 84TH St
15B
New York, NY 10028-2050
Phone
(212) 861-0239
Fax
(212) 861-1709
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 027789-1 NY Primary

Addresses

Primary practice location

145 E 84TH St
15B
New York, NY 10028-2050

Mailing address

145 E 84TH St
15B
New York, NY 10028-2050
Phone (212) 861-0239

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
027789-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1174702690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 84TH ST",
            "address_2": "15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282050",
            "telephone_number": "212-861-0239",
            "fax_number": "212-861-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 84TH ST",
            "address_2": "15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282050",
            "telephone_number": "212-861-0239",
            "fax_number": "212-861-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBACHER",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "027789-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.