Joshua M. Leavitt D.M.D., M.S. LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-024355 Issued in OH

Legal business name

JOSHUA M. LEAVITT D.M.D., M.S. LLC

Practice address

605 Diley Rd.
Pickerington, OH 43147-8399

Phone

(614) 863-8500

Fax

(614) 863-0874

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Leavitt, DMD MSNPI 1780014274

Title

President/Owner

Phone

(702) 325-5268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEDIATRIC DENTISTRY OF CENTRAL OHIO Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua M. Leavitt, D.M.D., M.S.

  • Pediatric Dentistry
  • Pickerington, OH
  • NPI 1780014274
  NPD Authorized official

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1447602602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DILEY RD.",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478399",
            "telephone_number": "614-863-8500",
            "fax_number": "614-863-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 DILEY RD.",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478399",
            "telephone_number": "614-863-8500",
            "fax_number": "614-863-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA M. LEAVITT D.M.D., M.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-325-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-024355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC DENTISTRY OF CENTRAL OHIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya Jones
• Statoya Jones, QMHS
• Teara Jones
• Teonna Renee Jones
• Tyricka Ytina Jordan
• Shadi R Jurdi, MD
• Just Kids Day Camp
• Hilary Kalra, PHD, BCBA-D
• Bethany Kalsic Wiley
• Hannah Kane

• Pediatric Dentistry in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.