Individual provider Active NPI

Jeffrey Scott Leigh, DMD

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1326398264
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12092 Issued in MD
Practice address
104 Forbes St
Suite 104
Annapolis, MD 21401-1516
Phone
(410) 268-4945
Fax
(410) 268-0426
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12092 MD Primary

Addresses

Primary practice location

104 Forbes St
Suite 104
Annapolis, MD 21401-1516

Mailing address

104 Forbes St
Suite 104
Annapolis, MD 21401-1516
Phone (410) 268-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 11, 2018 through Jun 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12092MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1326398264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "410-268-4945",
            "fax_number": "410-268-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "410-268-4945",
            "fax_number": "410-268-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.