Organization Active NPI

Leslie J. Zide, DMD, Inc.

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1295396299
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LESLIE J. ZIDE, DMD, INC.
Doing business as
Truly Caring Denture/Nightguard Center
Practice address
1795 Main Street
Suite 112
Springfield, MA 01103
Phone
(413) 297-2379
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Leslie Joan Zide, DMD
Title
Owner
Phone
(413) 297-2379

Specialties & licenses 1

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

Addresses

Primary practice location

1795 Main Street
Suite 112
Springfield, MA 01103

Mailing address

1795 Main Street
Suite 112
Springfield, MA 01103
Phone (413) 297-2379

Other names 1

  • Truly Caring Denture/Nightguard Center Doing business as

National Provider Directory

National Provider Directory

Locations

1795 Main St
Ste 112
Springfield, MA 01103
Phone (413) 297-2379

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1295396299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN STREET",
            "address_2": "SUITE 112",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-297-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 MAIN STREET",
            "address_2": "SUITE 112",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-297-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE J. ZIDE, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "ZIDE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-297-2379",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truly Caring Denture/Nightguard Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.