Organization Active NPI

Leiker Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Great Bend, KS
National Provider Identifier
1467757039
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60176 Issued in KS
Legal business name
LEIKER ORTHODONTICS LLC
Practice address
2023 Washington St
Great Bend, KS 67530-2450
Phone
(620) 792-6640
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Mark Leiker, DDSNPI 1346210762
Title
Ceo
Phone
(620) 792-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 60176 KS Primary

Addresses

Primary practice location

2023 Washington St
Great Bend, KS 67530-2450

Mailing address

2023 Washington St
Great Bend, KS 67530-2450
Phone (620) 792-6640

National Provider Directory

National Provider Directory

Locations

2023 Washington St
Great Bend, KS 67530
Phone (620) 792-6640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1467757039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302450",
            "telephone_number": "620-792-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302450",
            "telephone_number": "620-792-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIKER ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "LEIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-792-6640",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.