Leo Eliezer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011361 Issued in GA

Practice address

11925 Jones Bridge Rd
Suite # 200
Alpharetta, GA 30005-5076

Phone

(770) 772-0606

Fax

(770) 772-0702

NPI assigned

Aug 13, 2006

Last updated

Jul 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Max LLC

  dba North Georgia Smiles

  • Dental Clinic/Center
  • Cumming, GA
  • NPI 1952171852
  NPD Authorized official
• Dental Images 916, LLC

  • Dental Clinic/Center
  • Lawrenceville, GA
  • NPI 1841884392
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1326050824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 JONES BRIDGE RD",
            "address_2": "SUITE # 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055076",
            "telephone_number": "770-772-0606",
            "fax_number": "770-772-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 JONES BRIDGE RD",
            "address_2": "SUITE # 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055076",
            "telephone_number": "770-772-0606",
            "fax_number": "770-772-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEZER",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Elangwe, PHARMD
• Joseph Merritt Elder
• Serenity Elder, FNP
• Eldridge Family Care Inc.
• Elevate Physical Therapy LLC
• Elite Rotational Athletics, LLC
• Elizabeth H. Fester
• Lujayn Elkaiali
• Kathryn Elkins, DMD
• Sarah Nicole Ellard, MS, BCBA

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.

Verify at the official NPI Registry.