Organization Active NPI

Nicholas F. Leber, DDS, PC

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1285698191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14777 Issued in TX
Legal business name
NICHOLAS F. LEBER, DDS, PC
Practice address
4030 N Macarthur Blvd
Suit 100
Irving, TX 75038-6413
Phone
(972) 717-0077
Fax
(972) 717-5363
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lyn L Blanc-Carpenter
Title
Business Manager
Phone
(972) 717-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14777 TX Primary

Addresses

Primary practice location

4030 N Macarthur Blvd
Suit 100
Irving, TX 75038-6413

Mailing address

4030 N Macarthur Blvd
Suit 100
Irving, TX 75038-6413
Phone (972) 717-0077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285698191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 N MACARTHUR BLVD",
            "address_2": "SUIT 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386413",
            "telephone_number": "972-717-0077",
            "fax_number": "972-717-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 N MACARTHUR BLVD",
            "address_2": "SUIT 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386413",
            "telephone_number": "972-717-0077",
            "fax_number": "972-717-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS F. LEBER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANC-CARPENTER",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-717-0077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.