Individual provider Active NPI

John Henry Leech, DMD

  • General Practice Dentistry
  • North Providence, RI
National Provider Identifier
1528796505
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03619 Issued in RI
Practice address
1545 Smith St
North Providence, RI 02911-2943
Phone
(401) 353-1550
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03619 RI Primary

Addresses

Primary practice location

1545 Smith St
North Providence, RI 02911-2943

Mailing address

47 Bush St
Dartmouth, MA 02748-3116
Phone (610) 937-5419

Other practice location 1

1 Randall Sq Ste 305
Providence, RI 02904-2774
Phone (410) 521-5528

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

LicenseStateTypeSpecialty
DEN03619RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Michael Paolucci PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1528796505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BUSH ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027483116",
            "telephone_number": "610-937-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SMITH ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112943",
            "telephone_number": "401-353-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Randall Sq Ste 305",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042774",
            "country_code": "US",
            "telephone_number": "410-521-5528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEECH",
        "first_name": "JOHN HENRY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.