Individual provider Active NPI

Andrea Nicole Leinassar, D.D.S.

  • General Practice Dentistry
  • Smith, NV
National Provider Identifier
1386838134
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5600 Issued in NV
Practice address
2311 Highway 208
Smith, NV 89430-9709
Phone
(775) 465-2388
Fax
(775) 465-2178
NPI assigned
Sep 4, 2007
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 5600 NV Primary

Addresses

Primary practice location

2311 Highway 208
Smith, NV 89430-9709

Mailing address

PO Box 129
Smith, NV 89430-0129
Phone (775) 465-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20140107001299 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082842570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5600NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1386838134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "SMITH",
            "state": "NV",
            "postal_code": "894300129",
            "telephone_number": "775-465-2388",
            "fax_number": "775-465-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HIGHWAY 208",
            "city": "SMITH",
            "state": "NV",
            "postal_code": "894309709",
            "telephone_number": "775-465-2388",
            "fax_number": "775-465-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINASSAR",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith, NV

Sources for this page

Verify at the official NPI Registry.