Active NPI
Leyes Robers Dental LLC
- General Practice Dentistry
- Appleton, WI
National Provider Identifier
1205466737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LEYES ROBERS DENTAL LLC
- Practice address
- 3216 W County Rd KK
Appleton, WI 54915 - Phone
- (920) 830-4100
- NPI assigned
- Jan 23, 2020
- Last updated
- Jan 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Leyes
- Title
- Owner
- Phone
- (920) 830-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
3216 W County Rd KK
Appleton, WI 54915
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
National Provider Directory
National Provider DirectoryLocations
W3216 County Road KK
Appleton, WI 54915
Phone (920) 830-4100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Appleton, WI
- NPI 1972760387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579737600000",
"number": "1205466737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 W COUNTY RD KK",
"city": "APPLETON",
"state": "WI",
"postal_code": "54915",
"telephone_number": "920-830-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEYES ROBERS DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A",
"authorized_official_last_name": "LEYES",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-830-4100"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.