Active NPI
Bobby Don Leach, D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1184780264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8450
- Practice address
- 2359 Gus Thomasson Rd
Dallas, TX 75228-3004 - Phone
- (214) 321-3434
- Fax
- (972) 516-3290
- NPI assigned
- Dec 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8450 | TX | Primary |
Addresses
Primary practice location
2359 Gus Thomasson Rd
Dallas, TX 75228-3004
Mailing address
2359 Gus Thomasson Rd
Dallas, TX 75228-3004
Phone (214) 321-3434
Other names 1
- B. D. Leach
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184780264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2359 GUS THOMASSON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752283004",
"telephone_number": "214-321-3434",
"fax_number": "972-516-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2359 GUS THOMASSON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752283004",
"telephone_number": "214-321-3434",
"fax_number": "972-516-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "BOBBY",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "8450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "B.",
"last_name": "LEACH",
"middle_name": "D.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.