Active NPI
Leslie Leigh Showalter, D.D.S.
- General Practice Dentistry
- Fort Atkinson, WI
National Provider Identifier
1558491431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5180
- Practice address
- 1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139 - Phone
- (920) 563-4415
- Fax
- (920) 563-4476
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 5180 | WI | Primary |
Addresses
Primary practice location
1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Mailing address
1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Phone (920) 563-4415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715001549 | WI | Order and Referring Only - Dentist | 8527371814 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5180 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Showalter, Inc | General Practice | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1558491431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 COMMERCE PKWY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383139",
"telephone_number": "920-563-4415",
"fax_number": "920-563-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 COMMERCE PKWY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383139",
"telephone_number": "920-563-4415",
"fax_number": "920-563-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOWALTER",
"first_name": "LESLIE",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
- Emily Shepley, DPT
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 051)
- Shopko Stores Operating Co. LLC (ShopKo Optical 051)
- Shoptikal LLC (Shopko Optical 4051)
- Showalter, Inc (Rock River Dental)
- Robert P Sievert, D.O.
- Luke Joseph Smith, D.C.
- Nichole Lynn Smith, REGISTERED NURSE
- Samuel C Smith, PHD
- Nathan Spangler, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.