Active NPI
Alexandria Leigh Purdy, DMD
- Dentist
- Lady Lake, FL
National Provider Identifier
1437705985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24090
- Practice address
- 8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996 - Phone
- (352) 364-0064
- Fax
- (352) 364-0065
- NPI assigned
- Aug 12, 2019
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN24090 | FL | Primary |
Addresses
Primary practice location
8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996
Mailing address
8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996
Phone (352) 364-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 2, 2020 through Nov 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24090 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1437705985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 NE 138TH LN STE 105",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598996",
"telephone_number": "352-364-0064",
"fax_number": "352-364-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 NE 138TH LN STE 105",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598996",
"telephone_number": "352-364-0064",
"fax_number": "352-364-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "ALEXANDRIA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.