Individual provider Active NPI

Leslie John Fina, D.D.S.

  • General Practice Dentistry
  • Burgess, VA
National Provider Identifier
1225285307
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02383900 Issued in NJ
Practice address
746 Jessie Dupont Memorial Highway
Burgess, VA 22432-0277
Phone
(804) 453-3101
Fax
(804) 453-3450
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
Yes

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
22DI02383900NJMDGeneral Practice Dentistry
0401413431VAMDGeneral Practice Dentistry

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02383900 NJ Primary
General Practice Dentistry 1223G0001X 0401413431 VA

Addresses

NPPES NPI Registry

Primary practice location

746 Jessie Dupont Memorial Highway
Burgess, VA 22432-0277

Mailing address

PO Box 277
Burgess, VA 22432-0277
Phone (804) 453-3101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2012.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1225285307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BURGESS",
            "state": "VA",
            "postal_code": "224320277",
            "telephone_number": "804-453-3101",
            "fax_number": "804-453-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JESSIE DUPONT MEMORIAL HIGHWAY",
            "city": "BURGESS",
            "state": "VA",
            "postal_code": "224320277",
            "telephone_number": "804-453-3101",
            "fax_number": "804-453-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINA",
        "first_name": "LESLIE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02383900",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgess, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.