Elizabeth Ann Vanleeuwen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD2408 Issued in NM

Practice address

720 Saint Michaels Dr
Suite O
Santa Fe, NM 87505-7600

Phone

(505) 424-7998

Fax

(505) 424-7296

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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 NM

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perfect Teeth - Fourth Street P.C.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1336260769
  NPD (past)
• Perfect Teeth - Plaza del Sol P.C.

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1225159650
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT MICHAELS DR",
            "address_2": "SUITE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057600",
            "telephone_number": "505-424-7998",
            "fax_number": "505-424-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT MICHAELS DR",
            "address_2": "SUITE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057600",
            "telephone_number": "505-424-7998",
            "fax_number": "505-424-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLEEUWEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Vanegeren
• Vanette M. Sanchez, LCSW LLC
• Vanguard Behavioral Health SF LLC
• Deborah P Vanhecke, S.T.
• Melody Amber Vanhoose, LPCC
• Kendall McKinley Vannostrand, DOM
• Lorual Vanrheenen
• Michael Dean Vansice, MSW, LISW
• Kenneth Wayne Vansickle Jr., D.M.D
• Robin Vanzelst, BMS

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• 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.
• 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.