Individual provider Active NPI

Ashley Rose Leavell, DMD

  • Endodontics
  • Keene, NH
National Provider Identifier
1548524671
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN04041 Issued in NH
Practice address
342 Winchester St
Keene, NH 03431-3936
Phone
(603) 352-0502
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN1856496 MA
Endodontics 1223E0200X DN04041 NH Primary

Addresses

Primary practice location

342 Winchester St
Keene, NH 03431-3936

Mailing address

342 Winchester St
Keene, NH 03431-3936
Phone (603) 352-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000586 NH Order and Referring Only - DentistPractitioner - Dentist 7618258757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856496MAMDEndodontist
DN04041NHMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jebediah S Christy DDS - Keene PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1548524671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313936",
            "telephone_number": "603-352-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313936",
            "telephone_number": "603-352-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVELL",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1856496",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "DN04041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.