Individual provider Active NPI

Leslie M. Londeree, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1568575256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9220 Issued in MD
Practice address
8600 Lasalle Road
Suite 611
Baltimore, MD 21286-2014
Phone
(410) 823-5010
Fax
(410) 308-0645
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9220 MD Primary

Addresses

Primary practice location

8600 Lasalle Road
Suite 611
Baltimore, MD 21286-2014

Mailing address

8600 Lasalle Road
Suite 611
Baltimore, MD 21286-2014
Phone (410) 823-5010

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

LicenseStateTypeSpecialty
9220MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568575256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "SUITE 611",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862014",
            "telephone_number": "410-823-5010",
            "fax_number": "410-308-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "SUITE 611",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862014",
            "telephone_number": "410-823-5010",
            "fax_number": "410-308-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDEREE",
        "first_name": "LESLIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.