Brian Leeson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20208 Issued in FL

Practice address

10095 Beach Blvd Ste 150
Jacksonville, FL 32246-4774

Phone

(904) 647-2050

NPI assigned

Jun 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1477993269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 BEACH BLVD STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 BEACH BLVD STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464774",
            "telephone_number": "904-647-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Napat Leeaphorn, M.D.
• Deanna A Leedom, CRNA
• Natalie Leedy, PHD, PSYD
• Mary Leen, ARNP
• Jeni Leeps
• Daniel Leetran, PHARMD
• Ashley Lorraine Lefebvre, DO
• Sonya L Lefever, MD
• Gary L Leffelman, ARNP
• Suzanne J Leffew, MSN, APRN, FNP-C

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.