Active NPI
Luis Paulo Leite, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charleston, SC
National Provider Identifier
1295950699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3726
- Practice address
- 56 Courtenay Dr
Charleston, SC 29403-5707 - Phone
- (843) 792-3366
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3726 | SC | Primary |
Addresses
Primary practice location
56 Courtenay Dr
Charleston, SC 29403-5707
Mailing address
PO Box 12595
Charleston, SC 29422-2595
Phone (843) 792-5642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295950699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12595",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294222595",
"telephone_number": "843-792-5642",
"fax_number": "843-792-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 COURTENAY DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035707",
"telephone_number": "843-792-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITE",
"first_name": "LUIS",
"middle_name": "PAULO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "3726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.