Active NPI
Peter V Lecca, DDS
- Dentist
- Coppell, TX
National Provider Identifier
1245345412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16361
- Practice address
- 275 S Denton Tap Rd
Suite 150
Coppell, TX 75019 - Phone
- (972) 304-0968
- Fax
- (972) 393-4628
- NPI assigned
- Aug 20, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16361 | TX | Primary |
Addresses
Primary practice location
275 S Denton Tap Rd
Suite 150
Coppell, TX 75019
Mailing address
275 S Denton Tap Rd
Suite 150
Coppell, TX 75019
Phone (972) 304-0968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16361 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245345412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S DENTON TAP RD",
"address_2": "SUITE 150",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-304-0968",
"fax_number": "972-393-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 S DENTON TAP RD",
"address_2": "SUITE 150",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-304-0968",
"fax_number": "972-393-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECCA",
"first_name": "PETER",
"middle_name": "V",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, 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.