NPIMap

Organization Active NPI

Leahy and Associated DDS, PA

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1265616601
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7747 Issued in NC
Legal business name
LEAHY AND ASSOCIATED DDS, PA
Practice address
1500 Town Side Dr
Suite 105
Apex, NC 27502-6604
Phone
(919) 363-4204
Fax
(919) 363-4207
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Kenneth Leahy, D.D.S.NPI 1770672669
Title
President
Phone
(919) 363-4204

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 7747 NC Primary

Addresses

Primary practice location

1500 Town Side Dr
Suite 105
Apex, NC 27502-6604

Mailing address

1500 Town Side Dr
Suite 105
Apex, NC 27502-6604
Phone (919) 363-4204

Other names 1

  • Leahy Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Town Side Dr
Ste 105
Apex, NC 27502
Phone (919) 363-4204

Practitioners & affiliated clinicians

Practitioners 2

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1265616601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TOWN SIDE DR",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026604",
            "telephone_number": "919-363-4204",
            "fax_number": "919-363-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TOWN SIDE DR",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026604",
            "telephone_number": "919-363-4204",
            "fax_number": "919-363-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAHY AND ASSOCIATED DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-363-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leahy Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.