Active NPI
Jennifer Paige Leonhardt, DMD
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1558102194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11134
- Practice address
- 11302 Preston Hwy
Louisville, KY 40229-3869 - Phone
- (502) 955-6134
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11134 | KY | Primary |
Addresses
Primary practice location
11302 Preston Hwy
Louisville, KY 40229-3869
Mailing address
11302 Preston Hwy
Louisville, KY 40229-3869
Phone (502) 955-6134
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 |
|---|---|---|---|
| 11134 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1558102194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11302 PRESTON HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293869",
"telephone_number": "502-955-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11302 PRESTON HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293869",
"telephone_number": "502-955-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONHARDT",
"first_name": "JENNIFER",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "11134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.