Individual provider Active NPI

Leslie Pidgeon, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1255536850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10022374 Issued in TX
Practice address
3500 W. Wheatland Road
Dallas, TX 75237
Phone
(214) 947-5400
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10022374 TX Primary

Addresses

Primary practice location

3500 W. Wheatland Road
Dallas, TX 75237

Mailing address

3500 W. Wheatland Road
Dallas, TX 75237
Phone (214) 947-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000558 TX Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 5597838409 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10022374TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 20, 2017 Accepting new patients
Hennacare LLC CurrentSince Dec 1, 2021 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 20, 2017 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
West Eldorado Emergency Physicians PLLC Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Wheatland Inpatient Services Past Accepting new patients

Locations

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

3500 Gaston Ave
Dallas, TX 75246

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1023 Northwest Hwy
Garland, TX 75041
Phone (469) 910-8283

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255536850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W. WHEATLAND ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-947-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W. WHEATLAND ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-947-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10022374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.