NPIMap

Organization Active NPI

Grace Leedy, LLC

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1245704923
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRACE LEEDY, LLC
Practice address
10881 W Asbury Ave Ste 210
Lakewood, CO 80227-1970
Phone
(303) 989-0452
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark E Leedy, DDSNPI 1790092575
Title
Owner/Partner
Phone
(303) 989-0452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10881 W Asbury Ave Ste 210
Lakewood, CO 80227-1970

Mailing address

10881 W Asbury Ave Ste 210
Lakewood, CO 80227-1970
Phone (303) 989-0452

National Provider Directory

National Provider Directory

Locations

10881 W Asbury Ave
Ste 210
Lakewood, CO 80227
Phone (303) 989-0452

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1245704923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 W ASBURY AVE STE 210",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802271970",
            "telephone_number": "303-989-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 W ASBURY AVE STE 210",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802271970",
            "telephone_number": "303-989-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LEEDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LEEDY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "303-989-0452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.