Leah C. Divito, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEAH C. DIVITO, DDS, LLC

Practice address

5655 Hudson Dr Ste 100
Hudson, OH 44236-4454

Phone

(234) 269-5288

Fax

(234) 269-5289

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leah Cheyann Divito, DDSNPI 1699056325

Title

Owner/Dentist

Phone

(234) 269-5288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Cheyann Divito, D.D.S

  • Dentist
  • Hudson, OH
  • NPI 1699056325
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1275277170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364454",
            "telephone_number": "234-269-5288",
            "fax_number": "234-269-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH C. DIVITO, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "CHEYANN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "234-269-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1699056325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tempa Michelle Lawrence
• Wayne Alan Lawrence, DPM
• Mary Lawson
• Bryan M Lazzara, M.D.
• LCP Enterprises LLC (Central Wellness)
• Alicia Lee, LSW
• Hannah Lee, BCBA
• Brittany Lenz
• Susan Lester
• Jason Leupold, LPC

• Dental Clinic/Center in Hudson, OH
• Providers in Hudson, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.