Individual provider Active NPI

Leslie Naritoku, DMD

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1326713181
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-0006962-C1 Issued in AL
Practice address
2423 Schillinger Rd S Ste 104
Mobile, AL 36695-4142
Phone
(251) 634-2345
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 D-0006962-C1 AL Primary

Addresses

Primary practice location

2423 Schillinger Rd S Ste 104
Mobile, AL 36695-4142

Mailing address

1200 Somerby Dr Apt 1713
Mobile, AL 36695-5445

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220208000682 AL Order and Referring Only - DentistPractitioner - Dentist 6406249804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-0006962-C1ALMDGeneral Practice Dentistry
6962ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1326713181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOMERBY DR APT 1713",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366955445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 SCHILLINGER RD S STE 104",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954142",
            "telephone_number": "251-634-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARITOKU",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0006962-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.