Organization Active NPI

Leopoldo E Delucca MD PC

  • Otolaryngology Physician
  • Fort Dodge, IA
National Provider Identifier
1427155639
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22366 Issued in IA
Legal business name
LEOPOLDO E DELUCCA MD PC
Practice address
804 Kenyon Rd
Suite 200
Fort Dodge, IA 50501-5744
Phone
(515) 576-5000
Fax
(515) 576-7869
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Leopoldo E Delucca, MD
Title
Owner
Phone
(515) 576-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 22366 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Suite 200
Fort Dodge, IA 50501-5744

Mailing address

804 Kenyon Rd
Suite 200
Fort Dodge, IA 50501-5744
Phone (515) 576-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1427155639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE 200",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015744",
            "telephone_number": "515-576-5000",
            "fax_number": "515-576-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE 200",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015744",
            "telephone_number": "515-576-5000",
            "fax_number": "515-576-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOPOLDO E DELUCCA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "DELUCCA",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "22366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.