Active NPI
Curtis James Leciejewski, D.D.S.
- Dentist
- Rehoboth Beach, DE
National Provider Identifier
1366445777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001118
- Practice address
- 19643 Blue Bird LN
Ste 1
Rehoboth Beach, DE 19971-6129 - Phone
- (302) 226-7960
- Fax
- (302) 226-7963
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001118 | DE | Primary |
| Dentist | 122300000X | 9885 | MD |
Addresses
Primary practice location
19643 Blue Bird LN
Ste 1
Rehoboth Beach, DE 19971-6129
Mailing address
19643 Blue Bird LN
Ste 1
Rehoboth Beach, DE 19971-6129
Phone (302) 226-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150604001101 | DE | Order and Referring Only - Oral Surgery | 7012238967 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9885 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestipinodds, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Rehoboth Beach, DE
- NPI 1881571172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1366445777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19643 BLUE BIRD LN",
"address_2": "STE 1",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199716129",
"telephone_number": "302-226-7960",
"fax_number": "302-226-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19643 BLUE BIRD LN",
"address_2": "STE 1",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199716129",
"telephone_number": "302-226-7960",
"fax_number": "302-226-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECIEJEWSKI",
"first_name": "CURTIS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001118",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "9885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.