Leah Marie Fax, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002308 Issued in WI

Practice address

309 N 7TH Ave
West Bend, WI 53095-3242

Phone

(262) 338-1164

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leah Fax DDS PLLC

  • Dental Clinic/Center
  • Brookfield, IL
  • NPI 1073451266
  NPD Authorized official
• Downtown Family Dental of West Bend, Inc

  • General Practice Dentistry
  • West Bend, WI
  • NPI 1881755692
  NPD (past)
• Sleep Health Wisconsin LLC

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
  • NPI 1427762533

  Dentist

  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1497370829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 SYNERGY DR APT 420",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221346",
            "telephone_number": "608-438-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N 7TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953242",
            "telephone_number": "262-338-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAX",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick J Falkowski, D.C.
• Family Hearing Care, LLC
• Julia Ellen Fechter
• Jordan Lyn Fenney
• Nathan Ferger, DPT
• Abbey Ferree, PA-C
• Megan Filbert, PT, DPT

• Dentist in West Bend, WI
• Providers in West Bend, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.