Active NPI
Leon Michael Menapace, D.M.D.
- General Practice Dentistry
- Kulpmont, PA
National Provider Identifier
1316958424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS020642L
- Practice address
- 2 Utah Dr
Kulpmont, PA 17834-1972 - Phone
- (570) 373-5563
- Fax
- (570) 373-5562
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DS020642L | PA | Primary |
Addresses
Primary practice location
2 Utah Dr
Kulpmont, PA 17834-1972
Mailing address
2 Utah Dr
Kulpmont, PA 17834-1972
Phone (570) 373-5563
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316958424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UTAH DR",
"city": "KULPMONT",
"state": "PA",
"postal_code": "178341972",
"telephone_number": "570-373-5563",
"fax_number": "570-373-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 UTAH DR",
"city": "KULPMONT",
"state": "PA",
"postal_code": "178341972",
"telephone_number": "570-373-5563",
"fax_number": "570-373-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENAPACE",
"first_name": "LEON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS020642L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kulpmont, PA
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.