Active NPI
Leartis Daniel Fletcher
- Prosthetics Case Management
- Dallas, TX
National Provider Identifier
1548970627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1943611
- Practice address
- 6011 Melody LN Apt 211
Dallas, TX 75231-6738 - Phone
- (870) 619-9518
- NPI assigned
- Nov 30, 2022
- Last updated
- Nov 30, 2022
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1943611 | TX | Primary |
Addresses
Primary practice location
6011 Melody LN Apt 211
Dallas, TX 75231-6738
Mailing address
6011 Melody LN Apt 211
Dallas, TX 75231-6738
Phone (870) 619-9518
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | boujaystylezextensions.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 1943611 | TX | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1548970627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 MELODY LN APT 211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752316738",
"telephone_number": "870-619-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 MELODY LN APT 211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752316738",
"telephone_number": "870-619-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "LEARTIS",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "1943611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "boujaystylezextensions.com",
"affiliation": "N",
"endpointDescription": "to assist people with alopecia and breast cancer patients suffering from serve hair loss",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "boujaystylezextensions.com",
"address_1": "6011 Melody Ln",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752316787",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.