Individual provider Active NPI

Leigh O'Neal, DMD

  • Endodontics
  • Charleston, SC
National Provider Identifier
1487143004
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DGD.10020 Issued in SC
Practice address
10 Farmfield Ave Ste E
Charleston, SC 29407-7756
Phone
(843) 766-0112
NPI assigned
May 9, 2018
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 30.025678 OH
Endodontics 1223E0200X DGD.10020 SC Primary

Addresses

Primary practice location

10 Farmfield Ave Ste E
Charleston, SC 29407-7756

Mailing address

10 Farmfield Ave Ste E
Charleston, SC 29407-7756
Phone (843) 766-0112

Other names 1

  • Leigh Yarborough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180725001949 OH Order and Referring Only - DentistPractitioner - Dentist 6709133598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025678OHMDEndodontist
DGD.10020SCMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1487143004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FARMFIELD AVE STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077756",
            "telephone_number": "843-766-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FARMFIELD AVE STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077756",
            "telephone_number": "843-766-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "LEIGH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.025678",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "DGD.10020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "YARBOROUGH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.