Individual provider Active NPI

Doris Gull Leners

  • General Practice Dentistry
  • Clinton, IA
National Provider Identifier
1467516799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07104 Issued in IA
Practice address
1801 Manufacturing Dr
Clinton, IA 52732-6730
Phone
(563) 242-4917
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160216002453 IA Order and Referring Only - DentistPractitioner - Dentist 4880999622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07104IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leners Dental PC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07104 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1801 Manufacturing Dr
Clinton, IA 52732-6730

Mailing address

1801 Manufacturing Dr
Clinton, IA 52732-6730
Phone (563) 242-4917

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467516799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MANUFACTURING DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326730",
            "telephone_number": "563-242-4917",
            "fax_number": "563-242-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MANUFACTURING DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326730",
            "telephone_number": "563-242-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENERS",
        "first_name": "DORIS",
        "middle_name": "GULL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.