Leighann Nicole Distler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-027504 Issued in OH

Practice address

1521 Walmart Dr Ste 301
Lebanon, OH 45036-8347

Phone

(513) 282-6200

Fax

(513) 282-6201

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1538917653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 WALMART DR STE 301",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368347",
            "telephone_number": "513-282-6200",
            "fax_number": "513-282-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WALMART DR STE 301",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368347",
            "telephone_number": "513-282-6200",
            "fax_number": "513-282-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTLER",
        "first_name": "LEIGHANN",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-027504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Dexter
• Dennis Edward Dick, RN
• Traci A Dick, OTA 001465
• Maria Emilia Dickson Alarcon
• Kara Dirksing, M.ED., OTR/L
• Melissa C Donile, MSPT
• Terri Donner, QMHS-3
• Dougs in Home Assisted Living LLC (Caring Matters Home Care 012 LLC)
• Danielle E Downs, OTR/L
• Allyse Adair Doyle, MOT, OTR

• General Practice Dentistry in Lebanon, OH
• Providers in Lebanon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.