Leigh Ann McIlwain, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 14465 Issued in FL

Practice address

4710 N Habana Ave
Suite 203
Tampa, FL 33614-7161

Phone

(813) 879-8097

Fax

(813) 875-8792

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McIlwain Dental Specialists

  • Pediatric Dentistry
  • Tampa, FL
  • NPI 1386648863
  NPD (past) Authorized official
• Tampa Neuropsychiatry

  • Behavioral Neurology & Neuropsychiatry Physician
  • Tampa, FL
  • NPI 1538617089
  NPD (past)

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1417295072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-879-8097",
            "fax_number": "813-875-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-879-8097",
            "fax_number": "813-875-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "LEIGH ANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 14465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan McIlvaine, DPT
• McIlwain Dental Specialists
• McIlwain Medical Group, PA
• McIlwain Medical Group, PA
• James E McIlwain Jr., DDS
• Megan McInerney, LMHC
• Deborah Annice McInnis, OTRL
• Colleen Rebekah Maier McIntosh, DO
• Gabrielle Victoria McIntosh, PHARMD
• Latangra M McIntosh, APRN

• Pediatric Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.