Active NPI
William Anthony Dennis-Leigh, PA-C
- Medical Physician Assistant
- Clatskanie, OR
National Provider Identifier
1215033436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA130052
- Practice address
- 401 SW Bel Aire Dr
Clatskanie, OR 97016-1050 - Phone
- (503) 728-5111
- Fax
- (503) 728-5115
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA130052 | OR | Primary |
Addresses
Primary practice location
401 SW Bel Aire Dr
Clatskanie, OR 97016-1050
Mailing address
PO Box 1050 401 Bel Aire Dr
Clatskanie, OR 97016-1050
Phone (503) 728-5111
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1215033436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1050 401 BEL AIRE DR",
"city": "CLATSKANIE",
"state": "OR",
"postal_code": "970161050",
"telephone_number": "503-728-5111",
"fax_number": "503-728-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SW BEL AIRE DR",
"city": "CLATSKANIE",
"state": "OR",
"postal_code": "970161050",
"telephone_number": "503-728-5111",
"fax_number": "503-728-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS-LEIGH",
"first_name": "WILLIAM",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA130052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clatskanie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.