Columbia Dental Center LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

019027680 Issued in IL

Legal business name

COLUMBIA DENTAL CENTER LLC

Practice address

915 N Main St
St #2
Columbia, IL 62236-1157

Phone

(618) 281-6161

NPI assigned

Aug 29, 2016

Last updated

Aug 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rick Leppo, D.M.D.

Title

Owner

Phone

(618) 281-6161

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1356897433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MAIN ST",
            "address_2": "ST #2",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361157",
            "telephone_number": "618-281-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MAIN ST",
            "address_2": "ST #2",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361157",
            "telephone_number": "618-281-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "LEPPO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-281-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "019027680",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Cole, HIS
• Marlene Colette Coleman, RPH
• Columbia Comm Unit SCH Dist 4
• Columbia Convalescent Center
• Columbia Dental Care LTD
• Columbia Doctors Group, SC
• Columbia Family Chiropractic, PLLC
• Columbia Orthodontics
• Columbia Rehab Specialists, LLC
• Columbia Rehabilitation and Nursing Center, LLC

• Customized Equipment (DME) in Columbia, IL
• Providers in Columbia, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.