Joshua E Leute DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5000738 Issued in WI

Legal business name

JOSHUA E LEUTE DDS SC

Practice address

1317 W Grand Avenue
Port Washington, WI 53074

Phone

(262) 284-5884

Fax

(262) 284-1840

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Joshua E Leute, DDS

Title

President

Phone

(262) 284-5884

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1447385125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVENUE",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074",
            "telephone_number": "262-284-5884",
            "fax_number": "262-284-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVENUE",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "53074",
            "telephone_number": "262-284-5884",
            "fax_number": "262-284-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA E LEUTE DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "LEUTE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-284-5884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33589200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33814500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Jacques, LCSW
• Erik Riley Jeanes, D.O.
• Kenneth F. Jensen Jr., M.D.
• Christina M Johnson, CAPSW, SAC-IT
• Jordan Elizabeth Jones
• Brianna Jurss, RD
• Renee J Kallas
• Daniel Karrels
• Holly Marie Kempers, APNP
• Betsy A Kendziorski, LCSW

• General Practice Dentistry in Port Washington, WI
• Providers in Port Washington, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.