Individual provider Active NPI

Leslie P Dillard, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1427047679
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8006 Issued in TN
Practice address
121 Belle Forest Cir
Ste 2
Nashville, TN 37221-2157
Phone
(615) 646-9992
Fax
(615) 523-1352
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 8006 TN Primary

Addresses

Primary practice location

121 Belle Forest Cir
Ste 2
Nashville, TN 37221-2157

Mailing address

121 Belle Forest Cir
Ste 2
Nashville, TN 37221-2157
Phone (615) 646-9992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150618000058 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092026039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8006TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Dillard PLLC CurrentSince Nov 29, 2020 Accepting new patients

Locations

121 Belle Forest Cir
Ste 2
Nashville, TN 37221
Phone (615) 646-9992

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1427047679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BELLE FOREST CIR",
            "address_2": "STE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212157",
            "telephone_number": "615-646-9992",
            "fax_number": "615-523-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELLE FOREST CIR",
            "address_2": "STE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212157",
            "telephone_number": "615-646-9992",
            "fax_number": "615-523-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "LESLIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.