Active NPI
Leanne McCarron, DDS
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1316434632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS043529
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (800) 836-7536
- NPI assigned
- Apr 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DS043529 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
4766 Manayunk Ave
Philadelphia, PA 19128-4619
Phone (610) 547-4062
Other practice location 1
2301 E Allegheny Ave Ste 201
Philadelphia, PA 19134-4427
Phone (215) 282-8000
Other practice location 2
Dover AFB
436 Omrs/SGPD
Apo, AA 19902
Phone (302) 677-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043529 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1316434632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4766 MANAYUNK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284619",
"telephone_number": "610-547-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "800-836-7536"
}
],
"practiceLocations": [
{
"address_1": "2301 E Allegheny Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191344427",
"country_code": "US",
"telephone_number": "215-282-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Dover AFB",
"address_2": "436 OMRS/SGPD",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AA",
"postal_code": "19902",
"country_code": "US",
"telephone_number": "302-677-3000",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "MCCARRON",
"first_name": "LEANNE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS043529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.