NPIMap

Organization Active NPI

Dpmleonheartprwa LLC

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
National Provider Identifier
1326229485
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000778 Issued in WA
Legal business name
DPMLEONHEARTPRWA LLC
Practice address
10116 116TH St E
Suite 103
Puyallup, WA 98373-3543
Phone
(253) 841-3668
NPI assigned
Nov 16, 2007
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Eric Edward LeonheartNPI 1124085709
Title
Owner
Phone
(253) 841-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO00000778 WA Primary

Addresses

Primary practice location

10116 116TH St E
Suite 103
Puyallup, WA 98373-3543

Mailing address

11201 88TH Ave E
Suite 210
Puyallup, WA 98373-3802
Phone (253) 841-3668

National Provider Directory

National Provider Directory

Locations

11201 88th Ave E
Ste 210
Puyallup, WA 98373
Phone (253) 841-3668

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1326229485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E",
            "address_2": "SUITE 210",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-841-3668",
            "fax_number": "253-841-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 116TH ST E",
            "address_2": "SUITE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733543",
            "telephone_number": "253-841-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMLEONHEARTPRWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LEONHEART",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-841-3668"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.