Active NPI
Michael Leblanc, DDS
- Pediatric Dentistry
- Shawnee, KS
National Provider Identifier
1538183520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60266
- Practice address
- 6850 Hilltop Rd
Suite 160
Shawnee, KS 66226-3532 - Phone
- (913) 745-2500
- Fax
- (913) 745-2503
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 60266 | KS | Primary |
Addresses
Primary practice location
6850 Hilltop Rd
Suite 160
Shawnee, KS 66226-3532
Mailing address
5021 W 72ND St
Prairie Village, KS 66208-2406
Phone (913) 530-3783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200328130A | Medicaid | KS |
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 |
|---|---|---|---|
| 60266 | KS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leblanc & Associates Dentistry for Children, P.a. | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Olathe, KS
- NPI 1790021459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538183520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 W 72ND ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662082406",
"telephone_number": "913-530-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 HILLTOP RD",
"address_2": "SUITE 160",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662263532",
"telephone_number": "913-745-2500",
"fax_number": "913-745-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KS",
"license": "60266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200328130A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.