Jeffrey Michael Leinassar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5069 Issued in OR

Practice address

1414 Marine Dr
Astoria, OR 97103-3808

Phone

(503) 325-0310

Fax

(503) 325-1513

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1184623852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "503-325-0310",
            "fax_number": "503-325-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "503-325-0310",
            "fax_number": "503-325-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINASSAR",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica K Lawrence, PTA
• Heather Marie Leader
• Robert C Leatherman, DO
• Meredith Nicole Cupples Lehman, INTERN
• David P Leibel, DO
• Stephen A Leonardo, PA-C
• Tessa Rae Lessard, IBCLC
• Ryann Kristy Lim, DDS
• Charles Kenneth Linehan, M.D.
• Christina Little, THW/CHW

• General Practice Dentistry in Astoria, OR
• Providers in Astoria, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.

Verify at the official NPI Registry.