Julie Leslie, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2014018081 Issued in MO

Practice address

2820 Anchor Dr
Farmington, MO 63640-7387

Phone

(855) 944-5437

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Mumm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1184039737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 S TROY PL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ANCHOR DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407387",
            "telephone_number": "855-944-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "JULIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014018081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MUMM",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Larsson, MA, BCBA, LBA
• Janeen J Latham, BSW
• Samantha Lee, MOTR/L
• Shawn Phillip Lee, LCSW
• Amanda Leftridge, MSW, LMSW
• William Nate Letterman, MSW, LCSW
• Elizabeth Marie Levall, B.S.
• Zongshan Liao, DPT
• Cassandra Renee Lietzau-Mourer, DPT
• Lifenet, Inc.

• Dentist in Farmington, MO
• Providers in Farmington, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.