Brian Ledin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008950 Issued in AZ

Practice address

1901 S Signal Butte Rd
Suite 107
Mesa, AZ 85209-2600

Phone

(480) 305-0877

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Smiles, LLP

  dba Gateway Smiles

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1043407885
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1295140390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S SIGNAL BUTTE RD",
            "address_2": "SUITE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092600",
            "telephone_number": "480-305-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S SIGNAL BUTTE RD",
            "address_2": "SUITE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092600",
            "telephone_number": "480-305-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDIN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Melody Lechner
• Elena Maria Leclaire, SLPA
• Kalilah D Ledbetter, LMSW
• Tony Ledbetter, LPC
• Mary Elizabeth Ledezma
• Lee Dao Inc (Lee Eyecare Center)
• Graecen James Lee-Furcini
• Amber Lee
• Amy Lee, PHARM.D
• Andy Lee, DO

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.