Individual provider Active NPI

Julie L Leaverton, D.D.S.

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1427279835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38443 Issued in CA
Practice address
889 Embarcadero Dr
Suite 202
El Dorado Hills, CA 95762-4093
Phone
(916) 933-2010
Fax
(916) 933-5150
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 38443 CA Primary

Addresses

Primary practice location

889 Embarcadero Dr
Suite 202
El Dorado Hills, CA 95762-4093

Mailing address

1538 Dunford Way
Roseville, CA 95747-6021
Phone (916) 771-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38443CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427279835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 DUNFORD WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476021",
            "telephone_number": "916-771-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 EMBARCADERO DR",
            "address_2": "SUITE 202",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624093",
            "telephone_number": "916-933-2010",
            "fax_number": "916-933-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVERTON",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.