Individual provider Active NPI

Aaron Allen Leishman, DMD

  • Dentist
  • Estero, FL
National Provider Identifier
1457369209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16011 Issued in FL
Practice address
9500 Corkscrew Palms Circle
Suite 4
Estero, FL 33928
Phone
(239) 947-7992
Fax
(239) 949-9698
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Dentist 122300000X DN16011 FL Primary

Addresses

Primary practice location

9500 Corkscrew Palms Circle
Suite 4
Estero, FL 33928

Mailing address

9500 Corkscrew Palms Circle
Suite 4
Estero, FL 33928
Phone (239) 947-7992

Other names 1

  • Aaron A Leishman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000852 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042517708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16011FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457369209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 CORKSCREW PALMS CIRCLE",
            "address_2": "SUITE 4",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-947-7992",
            "fax_number": "239-949-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CORKSCREW PALMS CIRCLE",
            "address_2": "SUITE 4",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-947-7992",
            "fax_number": "239-949-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISHMAN",
        "first_name": "AARON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "LEISHMAN",
            "middle_name": "A",
            "credential": "DMD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.