Active NPI
Nicole Leadley, DDS
- Dentist
- Cripple Creek, CO
National Provider Identifier
1487968244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10245
- Practice address
- 1101 Teller County Road 1
Cripple Creek, CO 80813 - Phone
- (719) 689-3565
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10245 | CO | Primary |
Addresses
Primary practice location
1101 Teller County Road 1
Cripple Creek, CO 80813
Mailing address
135 Tamarron Dr
Colorado Springs, CO 80919-2123
Phone (719) 352-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10245 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1487968244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 TAMARRON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192123",
"telephone_number": "719-352-6633",
"fax_number": "719-352-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 TELLER COUNTY ROAD 1",
"city": "CRIPPLE CREEK",
"state": "CO",
"postal_code": "80813",
"telephone_number": "719-689-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADLEY",
"first_name": "NICOLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cripple Creek, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.