Active NPI
Leah M Hickson, DDS
- General Practice Dentistry
- Springfield, OR
National Provider Identifier
1295939593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8922
- Practice address
- 1640 G St
Springfield, OR 97477-4226 - Phone
- (541) 484-2046
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8922 | OR | Primary |
Addresses
Primary practice location
1640 G St
Springfield, OR 97477-4226
Mailing address
84490 N Enterprise Rd
Pleasant Hill, OR 97455-9608
Phone (541) 510-2693
Other practice location 1
2457 Oakmont Way
Eugene, OR 97401-6460
Phone (541) 484-2046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150908002438 | OR | Order and Referring Only - Dentist | 0042526972 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8922 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Dental Partners | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Eugene, OR
- NPI 1750037206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1295939593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84490 N ENTERPRISE RD",
"city": "PLEASANT HILL",
"state": "OR",
"postal_code": "974559608",
"telephone_number": "541-510-2693",
"fax_number": "541-510-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 G ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774226",
"telephone_number": "541-484-2046"
}
],
"practiceLocations": [
{
"address_1": "2457 Oakmont Way",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974016460",
"country_code": "US",
"telephone_number": "541-484-2046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKSON",
"first_name": "LEAH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.