Individual provider Active NPI

Douglas F Leigh, D.DS.

  • General Practice Dentistry
  • Gardner, MA
National Provider Identifier
1184713976
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20245 Issued in MA
Practice address
380 Elm St
Gardner, MA 01440-3935
Phone
(978) 630-1702
Fax
(978) 630-2450
NPI assigned
Oct 12, 2006
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 20245 MA Primary

Addresses

Primary practice location

380 Elm St
Gardner, MA 01440-3935

Mailing address

14 Kilgore Ave
Medford, MA 02155-2153
Phone (978) 302-3803

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
20245MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Street Dental Implant Solutions PC Current Accepting new patients
Gardner Family Dental Care, LLC General Practice Past Accepting new patients
Center for Aesthetic Dentistry Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1184713976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KILGORE AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552153",
            "telephone_number": "978-302-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403935",
            "telephone_number": "978-630-1702",
            "fax_number": "978-630-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.DS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.