Organization Active NPI

Leebella Dental Inc

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1427659440
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEEBELLA DENTAL INC
Practice address
6844 International Center Blvd Ste a
Fort Myers, FL 33912-7154
Phone
(239) 691-8380
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. Ximena Velasquez-PierceNPI 1548606874
Title
Owner/Dentist
Phone
(239) 691-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6844 International Center Blvd Ste a
Fort Myers, FL 33912-7154

Mailing address

6844 International Center Blvd Ste a
Fort Myers, FL 33912-7154
Phone (239) 691-8380

National Provider Directory

National Provider Directory

Locations

6844 International Center Blvd
Ste A
Fort Myers, FL 33912
Phone (239) 595-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1427659440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127154",
            "telephone_number": "239-691-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127154",
            "telephone_number": "239-691-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEBELLA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ-PIERCE",
        "authorized_official_first_name": "XIMENA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "239-691-8380",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.